Healthcare Provider Details

I. General information

NPI: 1235934647
Provider Name (Legal Business Name): THOMAS ZHU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2025
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7851 WALKER ST STE 206
LA PALMA CA
90623-1746
US

IV. Provider business mailing address

2801 KELVIN AVE UNIT 375
IRVINE CA
92614-0140
US

V. Phone/Fax

Practice location:
  • Phone: 714-842-2700
  • Fax:
Mailing address:
  • Phone: 513-833-7297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number3993
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: