Healthcare Provider Details

I. General information

NPI: 1710508874
Provider Name (Legal Business Name): ZHE HOU, M.D., PH.D., A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2020
Last Update Date: 06/02/2022
Certification Date: 05/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 E IMPERIAL HWY STE 150
BREA CA
92821-6782
US

IV. Provider business mailing address

3000 E IMPERIAL HWY STE 150
BREA CA
92821-6782
US

V. Phone/Fax

Practice location:
  • Phone: 714-987-1818
  • Fax:
Mailing address:
  • Phone: 714-987-1818
  • Fax: 714-706-0218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ZHE HOU
Title or Position: PRESIDENT
Credential: MD
Phone: 714-987-1818