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NPI Code Detail

MEDICARE: YANJIA ZHOU

MEDICARE:   YANJIA  ZHOU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician178951CA
2207N00000XDermatology Physician26062NV

General Provider Information

NPI Number : 1396308607
Entity Type Code : Individual
Provider Name (Legal Business Name) : YANJIA ZHOU
Provider Business Mailing Address
First Line : 4618 EL CAMINO CABOS DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-6055
Country : US
Telephone Number : 702-475-8608
Fax Number : 702-475-8608
Provider Business Practice Location Address
First Line : 8905 W POST RD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-2429
Country : US
Telephone Number : 918-728-5852
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2019
Last Update Date : 12/17/2025

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Directions to “ YANJIA ZHOU ” Practice Location

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