Healthcare Provider Details

I. General information

NPI: 1124864822
Provider Name (Legal Business Name): YIN ZHOU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2024
Last Update Date: 07/02/2024
Certification Date: 07/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W MINERAL KING AVE
VISALIA CA
93291-6237
US

IV. Provider business mailing address

6824 W DOE AVE APT 103
VISALIA CA
93291-9814
US

V. Phone/Fax

Practice location:
  • Phone: 305-833-1339
  • Fax:
Mailing address:
  • Phone: 305-833-1339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: