Healthcare Provider Details

I. General information

NPI: 1013741891
Provider Name (Legal Business Name): FELIX ZHOU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2024
Last Update Date: 08/26/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8730 ALDEN DRIVE
LOS ANGELES CA
90048
US

IV. Provider business mailing address

100 S DOHENY DR
LOS ANGELES CA
90048-2955
US

V. Phone/Fax

Practice location:
  • Phone: 310-423-3277
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number198450
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: