Healthcare Provider Details

I. General information

NPI: 1407388895
Provider Name (Legal Business Name): ELAINE ZHOU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2017
Last Update Date: 08/03/2022
Certification Date: 08/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL CENTER BLVD
CHESTER PA
19013-3902
US

IV. Provider business mailing address

1441 CONSTITUTION BLVD STE 100
SALINAS CA
93906-3136
US

V. Phone/Fax

Practice location:
  • Phone: 610-874-6114
  • Fax:
Mailing address:
  • Phone: 831-424-1150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA180571
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: