Healthcare Provider Details

I. General information

NPI: 1336025287
Provider Name (Legal Business Name): JUDY ZHOU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7740 GARVEY AVE
ROSEMEAD CA
91770-3077
US

IV. Provider business mailing address

7448 TERESA AVE
ROSEMEAD CA
91770-3828
US

V. Phone/Fax

Practice location:
  • Phone: 626-927-0838
  • Fax:
Mailing address:
  • Phone: 626-632-2205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number95036585
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: