MEDICARE: SHEN ZHAO LMFT

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	106H00000X	Marriage & Family Therapist	146261	CA

General Provider Information

NPI Number	:	1679832356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEN ZHAO LMFT

Provider Business Mailing Address
First Line	:	10176 SADDLEHILL TER
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91737-3069
Country	:	US
Telephone Number	:	909-780-3003
Fax Number	:

Provider Business Practice Location Address
First Line	:	10176 SADDLEHILL TER
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91737-3069
Country	:	US
Telephone Number	:	909-780-3003
Fax Number	:

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

Provider Enumeration Date	:	05/15/2012
Last Update Date	:	06/02/2026

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Directions to “ SHEN ZHAO LMFT” Practice Location

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