Basic Information
Provider Information
NPI: 1659710127
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZHU
FirstName: JANET
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1628
Address2:  
City: ORANGE
State: CA
PostalCode: 928560628
CountryCode: US
TelephoneNumber: 7146195391
FaxNumber: 7707016655
Practice Location
Address1: 26520 CACTUS AVE
Address2:  
City: MORENO VALLEY
State: CA
PostalCode: 925553927
CountryCode: US
TelephoneNumber: 9514864574
FaxNumber: 9514864560
Other Information
ProviderEnumerationDate: 06/18/2013
LastUpdateDate: 07/24/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X20A14024CAY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansAnesthesiology 
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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