Colin Zhu (NPI# 1639424732, PAC ID# 1658697891) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1639424732 |
| PAC ID by PECOS | 1658697891 |
| Professional Enrollment ID | I20181102001014 |
| Full Name | Colin Zhu |
| Organization Legal Name | PROVIDENCE MEDICAL INSTITUTE |
| Address |
4314 W Slauson Ave Los Angeles CA 90043-2808 |
| Phone Number | 3232937171 |
| Gender | M |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5991609737 |
| Number of Group Practice Members | 250 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 | 3108356627 | PROVIDENCE MEDICAL INSTITUTE |
| 4314 W Slauson Ave, Los Angeles, CA 90043-2808 | 3232937171 | PROVIDENCE MEDICAL INSTITUTE |
| Organization Legal Name | PROVIDENCE MEDICAL INSTITUTE |
| Physicians | 252 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa A Garner | Nurse Practitioner | Providence Medical Institute | 24035 Newhall Ranch Rd, Santa Clarita, CA 91355-5702 |
| Jennifer S Lee | Nurse Practitioner | Providence Medical Institute | 12618 Hawthorne Blvd, Hawthorne, CA 90250-3907 |
| Danielle N Anderson | Obstetrics/gynecology | Providence Medical Institute | 2601 W Alameda Avenue, Suite 212, Burbank, CA 91505-4800 |
| Julie A Gould | Obstetrics/gynecology | Providence Medical Institute | 405 N Maclay Ave, Suite 104, San Fernando, CA 91340-2455 |
| Reza Askari | Obstetrics/gynecology | Providence Medical Institute | 621 S Butte St, San Pedro, CA 90732-3510 |
| Brenda Shen | Family Medicine | Providence Medical Institute | 2382 Crenshaw Blvd, Suite 5, Torrance, CA 90501-3333 |
| Raj U Dugel | Ophthalmology | Providence Medical Institute | 4825 Torrance Blvd, Suite 100, Torrance, CA 90503-4167 |
| Jeffrey Work | Interventional Cardiology | Providence Medical Institute | 21501 Avalon Blvd, Suite 100, Carson, CA 90745-2210 |
| Peter J Georgio Ii | Family Medicine | Providence Medical Institute | 1010 N Sepulveda Blvd, Manhattan Beach, CA 90266-5929 |
| Michael M Marvi | Neurology | Providence Medical Institute | 1870 Veteran Ave, Apt 102, Los Angeles, CA 90025-4569 |
| Street Address |
4314 W SLAUSON AVE |
| City | LOS ANGELES |
| State | CA |
| Zip | 90043-2808 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl Feld | Internal Medicine | Providence Medical Institute | 4314 W Slauson Ave, Los Angeles, CA 90043-2808 |
| Stanley Golden | Internal Medicine | Providence Medical Institute | 4314 W Slauson Ave, Los Angeles, CA 90043-2808 |
| Jarvis E Gatlin | Internal Medicine | Providence Medical Institute | 4314 W Slauson Ave, Los Angeles, CA 90043-2808 |
| Kenneth K Ho | Internal Medicine | Providence Medical Institute | 4314 W Slauson Ave, Los Angeles, CA 90043-2808 |
| Kimberley Hoang Chan | Internal Medicine | Providence Medical Institute | 4314 W Slauson Ave, Los Angeles, CA 90043-2808 |
| Carmel N Raphael | Physician Assistant | Providence Medical Institute | 4314 W Slauson Ave, Los Angeles, CA 90043-2808 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gudata S Hinika | General Surgery | 5141 Crenshaw Blvd, Los Angeles, CA 90043-1853 | |
| John T Casey | Clinical Social Worker | 5444 Crenshaw Blvd, Los Angeles, CA 90043-2408 | |
| William E Faulkner | Oral Surgery | 3250 W Slauson Ave, Los Angeles, CA 90043-2564 | |
| Anthonia A Sulaiman | Nurse Practitioner | St. John's Well Child and Family Center, Inc. | 6505 8th Ave, Los Angeles, CA 90043-4313 |
| Richard J Robinson | Physician Assistant | St. John's Well Child and Family Center, Inc. | 6505 8th Ave, Los Angeles, CA 90043-4313 |
| Frederick N Thomas | General Practice | 2500 W Florence Ave, Los Angeles, CA 90043-5144 |
| City | LOS ANGELES |
| Zip Code | 90043 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LOS ANGELES + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Colin Zhu.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.