MEDICARE: MINGMIN ZHU

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	164X00000X	Licensed Vocational Nurse	VN692351	CA

General Provider Information

NPI Number	:	1508377235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MINGMIN ZHU

Provider Business Mailing Address
First Line	:	701 W CESAR ESTRADA CHAVEZ AVE #201
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-2262
Country	:	US
Telephone Number	:	213-217-5300
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 W CESAR ESTRADA CHAVEZ AVE #201
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90012-2262
Country	:	US
Telephone Number	:	213-217-5300
Fax Number	:

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

Provider Enumeration Date	:	10/20/2017
Last Update Date	:	10/24/2017

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Directions to “ MINGMIN ZHU ” Practice Location

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