Zhenghong Broyles
Individual provider Active NPI Family Nurse Practitioner · Seal Beach, CA
NPI 1447435151 · NPPES record last updated Oct 9, 2018
Key facts
- NPI
- 1447435151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 12743 (CA)
- Practice address
- 921 Pacific Coast Hwy
Seal Beach, CA 90740-6244 - Phone
- (562) 598-0473
- NPI assigned
- Jan 2, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP12743 | CA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 12743 | CA | Yes |
| Family Nurse Practitioner | 363LF0000X | NP12743 | CA |
Addresses
Primary practice location
921 Pacific Coast Hwy
Seal Beach, CA 90740-6244
Mailing address
921 Pacific Coast Hwy
Seal Beach, CA 90740-6244
Phone (562) 598-0473
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP12743 | Other | CA | NP |
Other providers in Seal Beach, CA
- Braithwaite Chiropractic, Inc.
- Sean Martin Braithwaite
- Ian Dallas Brodie
- Jessica Ann Brooks
- Kendra Brooks
- Shanden Brutsch
- Victoria Bryant
- Danny Quang Bui
- Lea Burke
- Sofia Carmen Bustillo
All providers in Seal Beach, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.