Healthcare Provider Details

I. General information

NPI: 1073302261
Provider Name (Legal Business Name): WEI ZHOU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 05/05/2025
Certification Date: 05/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

277 SAN ANSELMO AVE N
SAN BRUNO CA
94066-4935
US

IV. Provider business mailing address

277 SAN ANSELMO AVE N
SAN BRUNO CA
94066-4935
US

V. Phone/Fax

Practice location:
  • Phone: 916-389-5720
  • Fax:
Mailing address:
  • Phone: 916-389-5720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number74831
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: