Healthcare Provider Details

I. General information

NPI: 1841447356
Provider Name (Legal Business Name): JESSICA Q ZHOU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2008
Last Update Date: 01/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PASTEUR DR S101
PALO ALTO CA
94305-2200
US

IV. Provider business mailing address

6758 LEILANI LN
CYPRESS CA
90630-5716
US

V. Phone/Fax

Practice location:
  • Phone: 650-723-6661
  • Fax:
Mailing address:
  • Phone: 917-803-5285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA109158
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: