Healthcare Provider Details

I. General information

NPI: 1760845044
Provider Name (Legal Business Name): TIANZAN ZHOU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2016
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23560 CRENSHAW BLVD STE 101
TORRANCE CA
90505-5233
US

IV. Provider business mailing address

4140 W 190TH ST
TORRANCE CA
90504-5513
US

V. Phone/Fax

Practice location:
  • Phone: 310-517-7021
  • Fax: 310-784-1903
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberMD221602
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberA186011
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: