Healthcare Provider Details

I. General information

NPI: 1881371201
Provider Name (Legal Business Name): LIANG ZHOU NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2023
Last Update Date: 06/28/2023
Certification Date: 06/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 W EULALIA ST STE 301
GLENDALE CA
91204-2851
US

IV. Provider business mailing address

222 W EULALIA ST STE 301
GLENDALE CA
91204-2851
US

V. Phone/Fax

Practice location:
  • Phone: 818-240-0108
  • Fax:
Mailing address:
  • Phone: 818-240-0108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNP95023534
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: