Healthcare Provider Details

I. General information

NPI: 1619086246
Provider Name (Legal Business Name): ZUO FEN HAUF M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 07/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1580 SEBASTOPOL RD BULIDING A
SANTA ROSA CA
95407-6824
US

IV. Provider business mailing address

2006 LONE STAR CT
SANTA ROSA CA
95407-4518
US

V. Phone/Fax

Practice location:
  • Phone: 707-591-9667
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberA67131
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: