Healthcare Provider Details

I. General information

NPI: 1831373109
Provider Name (Legal Business Name): YI ZHOU RD., M.S, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2007
Last Update Date: 08/18/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 W FOOTHILL BLVD STE B
CLAREMONT CA
91711-2740
US

IV. Provider business mailing address

226 W FOOTHILL BLVD SUITE # B
CLAREMONT CA
91711-4736
US

V. Phone/Fax

Practice location:
  • Phone: 909-618-5960
  • Fax:
Mailing address:
  • Phone: 909-618-5960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number923949
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC 11465
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: