Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | A82600 | CA |
NPI | 1144249376 |
---|---|
Provider Name | Henry Le-Qian Zhu |
First Address | Sacramento, CA 95819-3633 |
Second Address | Sacramento, CA 95819-3633 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 15/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H92935 | (02) | CA |