Provider Demographics
NPI:1437814100
Name:LE, ZOEY CHAU (PHARMD)
Entity Type:Individual
Prefix:
First Name:ZOEY
Middle Name:CHAU
Last Name:LE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 S DALE AVE APT 206
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-4074
Mailing Address - Country:US
Mailing Address - Phone:714-273-0750
Mailing Address - Fax:
Practice Address - Street 1:1327 EL PRADO AVE
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-2777
Practice Address - Country:US
Practice Address - Phone:310-328-7244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-07
Last Update Date:2021-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA85224183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist