Healthcare Provider Details

I. General information

NPI: 1538034228
Provider Name (Legal Business Name): CHENYUAN ZHU
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2025
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9353 VALLEY BLVD STE C
ROSEMEAD CA
91770-1923
US

IV. Provider business mailing address

9353 VALLEY BLVD STE C
ROSEMEAD CA
91770-1923
US

V. Phone/Fax

Practice location:
  • Phone: 626-287-2988
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT158101
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: