Healthcare Provider Details

I. General information

NPI: 1073793634
Provider Name (Legal Business Name): XIANJIE ZHOU L.A.C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2007
Last Update Date: 11/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2565 E COLORADO BLVD
PASADENA CA
91107-3745
US

IV. Provider business mailing address

2565 E COLORADO BLVD
PASADENA CA
91107-3745
US

V. Phone/Fax

Practice location:
  • Phone: 626-666-5811
  • Fax:
Mailing address:
  • Phone: 626-666-5811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number8256
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: