Healthcare Provider Details

I. General information

NPI: 1487338232
Provider Name (Legal Business Name): ABIGAIL TZAU DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2023
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 MAGNOLIA AVE STE 101
LOS ANGELES CA
90007-1220
US

IV. Provider business mailing address

2001 S MERRIMAN RD STE 100
WESTLAND MI
48186-5540
US

V. Phone/Fax

Practice location:
  • Phone: 323-541-1411
  • Fax:
Mailing address:
  • Phone: 734-727-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A25668
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: