Provider Demographics
NPI:1316262041
Name:ZHU, JENNIFER CHUNG JEAN (DC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:CHUNG JEAN
Last Name:ZHU
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 HAROLD AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050
Mailing Address - Country:US
Mailing Address - Phone:408-246-1738
Mailing Address - Fax:
Practice Address - Street 1:68 HAROLD AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050
Practice Address - Country:US
Practice Address - Phone:408-246-1738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-06
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 31611111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor