Provider Demographics
NPI:1275561276
Name:ZHA, JUNLI (MD)
Entity Type:Individual
Prefix:DR
First Name:JUNLI
Middle Name:
Last Name:ZHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4980 BARRANCA PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-8654
Mailing Address - Country:US
Mailing Address - Phone:949-262-0838
Mailing Address - Fax:949-656-7081
Practice Address - Street 1:4980 BARRANCA PKWY STE 110
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-8654
Practice Address - Country:US
Practice Address - Phone:949-262-0838
Practice Address - Fax:949-262-0898
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA76073207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1497165781OtherNPI - NPPES - CMS