Healthcare Provider Details

I. General information

NPI: 1912825035
Provider Name (Legal Business Name): ZOE FOX
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2067 W VISTA WAY STE 250
VISTA CA
92083-6034
US

IV. Provider business mailing address

4900 AIRPORT PLAZA DR STE 200
LONG BEACH CA
90815-1375
US

V. Phone/Fax

Practice location:
  • Phone: 562-490-9900
  • Fax: 562-452-7078
Mailing address:
  • Phone: 562-490-9900
  • Fax: 562-452-7078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: