Healthcare Provider Details

I. General information

NPI: 1366849929
Provider Name (Legal Business Name): IRIS CHEN ZHAO PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: IRIS CHEN

II. Dates (important events)

Enumeration Date: 11/25/2014
Last Update Date: 11/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 X ST ROOM 2054
SACRAMENTO CA
95817-2229
US

IV. Provider business mailing address

4501 X ST ROOM 2054
SACRAMENTO CA
95817-2229
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-8285
  • Fax:
Mailing address:
  • Phone: 916-734-8285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number69650
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: