Healthcare Provider Details
I. General information
NPI: 1972965176
Provider Name (Legal Business Name): MICHELLE LI ZHOU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/25/2016
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2228 SEPULVEDA BLVD
TORRANCE CA
90501-5301
US
IV. Provider business mailing address
20561 MANSEL AVE
TORRANCE CA
90503-3107
US
V. Phone/Fax
- Phone: 844-308-5003
- Fax: 760-414-3892
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | A152172 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: