Provider Demographics
NPI:1033997614
Name:ZUROFF, CHRISTY NOEL (NP)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:NOEL
Last Name:ZUROFF
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7455 HEREFORD LN
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91708-9138
Mailing Address - Country:US
Mailing Address - Phone:714-928-1222
Mailing Address - Fax:
Practice Address - Street 1:16400 PACIFIC COAST HWY
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92649-1830
Practice Address - Country:US
Practice Address - Phone:714-719-9772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-15
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95024384363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner