Healthcare Provider Details

I. General information

NPI: 1053277855
Provider Name (Legal Business Name): ZHOU ADVANCED HEALING MEDICAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/25/2025
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5050 PALO VERDE ST STE 109
MONTCLAIR CA
91763-2333
US

IV. Provider business mailing address

5050 PALO VERDE ST STE 109
MONTCLAIR CA
91763-2333
US

V. Phone/Fax

Practice location:
  • Phone: 909-413-6310
  • Fax: 909-975-2507
Mailing address:
  • Phone: 909-413-6310
  • Fax: 909-975-2507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER GOLVEO
Title or Position: CFO
Credential: NP
Phone: 818-966-2864