Provider Demographics
NPI:1881892925
Name:HUI ZHAO DDS INC.
Entity type:Organization
Organization Name:HUI ZHAO DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HUI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHAO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:805-525-3001
Mailing Address - Street 1:972 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SANTA PAULA
Mailing Address - State:CA
Mailing Address - Zip Code:93060-2823
Mailing Address - Country:US
Mailing Address - Phone:180-552-5300
Mailing Address - Fax:805-525-7468
Practice Address - Street 1:972 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SANTA PAULA
Practice Address - State:CA
Practice Address - Zip Code:93060-2823
Practice Address - Country:US
Practice Address - Phone:805-525-3001
Practice Address - Fax:805-525-7468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53891302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA53891OtherLICENSE #
CAG94159OtherMEDICAL PI