Healthcare Provider Details

I. General information

NPI: 1285591560
Provider Name (Legal Business Name): TOMMY ZHOU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

726 E MAIN ST
ALHAMBRA CA
91801-4082
US

IV. Provider business mailing address

15516 LOS MOLINOS ST
HACIENDA HEIGHTS CA
91745-6226
US

V. Phone/Fax

Practice location:
  • Phone: 213-808-1700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95030501
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: