Provider Demographics
NPI:1619631181
Name:CHAU ZHENG, CAROLINA IRENE (FNP-C, MSN, RN)
Entity Type:Individual
Prefix:MISS
First Name:CAROLINA
Middle Name:IRENE
Last Name:CHAU ZHENG
Suffix:
Gender:F
Credentials:FNP-C, MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5040 RIO HONDO AVE
Mailing Address - Street 2:
Mailing Address - City:TEMPLE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91780-3742
Mailing Address - Country:US
Mailing Address - Phone:626-592-5918
Mailing Address - Fax:
Practice Address - Street 1:220 S 1ST ST
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-3705
Practice Address - Country:US
Practice Address - Phone:626-281-8663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-29
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95018685363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily