Provider Demographics
NPI:1184166548
Name:ZHONG, AMY (RD)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:
Last Name:ZHONG
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 WISCONSIN AVE
Mailing Address - Street 2:UNIT 1
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90814-5698
Mailing Address - Country:US
Mailing Address - Phone:530-722-5430
Mailing Address - Fax:
Practice Address - Street 1:350 WISCONSIN AVE APT 1
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90814-5699
Practice Address - Country:US
Practice Address - Phone:530-722-5430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-15
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered