Healthcare Provider Details
I. General information
NPI: 1053473322
Provider Name (Legal Business Name): MS. JUN ZHOU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
20395 PACIFICA DR STE 105
CUPERTINO CA
95014-3016
US
IV. Provider business mailing address
20395 PACIFICA DR STE 105
CUPERTINO CA
95014-3016
US
V. Phone/Fax
- Phone: 408-725-9188
- Fax:
- Phone: 408-725-9188
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: