Provider Demographics
NPI:1639424732
Name:ZHU, COLIN (DO)
Entity type:Individual
Prefix:
First Name:COLIN
Middle Name:
Last Name:ZHU
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 LONTANO
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-7058
Mailing Address - Country:US
Mailing Address - Phone:908-216-6326
Mailing Address - Fax:
Practice Address - Street 1:2170 S EL CAMINO REAL STE 117-122
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6203
Practice Address - Country:US
Practice Address - Phone:760-730-8060
Practice Address - Fax:760-730-8061
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-16
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14710207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine