Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | A85201 | CA |
N | 2084N0400X | Neurologist | A85201 | CA |
NPI | 1609891928 |
---|---|
Provider Name | Dr. Jenny Qi Zhu |
First Address | West Hills, CA 91307-2003 |
Second Address | West Hills, CA 91307-2003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I40679 | (02) | CA |