MEDICARE: LEI ZHU P.A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA53314	CA

General Provider Information

NPI Number	:	1316392939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEI ZHU P.A

Provider Business Mailing Address
First Line	:	7100 CERRITOS AVE
Second Line	:	UNIT 28
City	:	STANTON
State	:	CA
Zip	:	90680-2067
Country	:	US
Telephone Number	:	323-776-1500
Fax Number	:	323-776-1499

Provider Business Practice Location Address
First Line	:	1126 E SOUTH ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90805-4132
Country	:	US
Telephone Number	:	562-984-9200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2016
Last Update Date	:	09/05/2024

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Directions to “ LEI ZHU P.A” Practice Location

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