Healthcare Provider Details

I. General information

NPI: 1104565530
Provider Name (Legal Business Name): DONNA ZHOU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2022
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 POTRERO AVE STE 3D
SAN FRANCISCO CA
94110-3518
US

IV. Provider business mailing address

1001 POTRERO AVE STE 3D
SAN FRANCISCO CA
94110-3518
US

V. Phone/Fax

Practice location:
  • Phone: 628-206-8823
  • Fax: 628-206-5199
Mailing address:
  • Phone: 628-206-8823
  • Fax: 628-206-5199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95258147
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95026022
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: