Provider Demographics
NPI:1972988301
Name:MIN, ZIN (OD)
Entity type:Individual
Prefix:DR
First Name:ZIN
Middle Name:
Last Name:MIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 STONEWOOD ST
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-3919
Mailing Address - Country:US
Mailing Address - Phone:562-622-2200
Mailing Address - Fax:
Practice Address - Street 1:405 STONEWOOD ST
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-3919
Practice Address - Country:US
Practice Address - Phone:562-622-2200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-27
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15290 TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist