=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366722571
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KUNLUN ZHOU L.AC
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/18/2011
-----------------------------------------------------
Last Update Date | 03/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4407 FREEPORT BLVD
-----------------------------------------------------
City | SACRAMENTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95822-2003
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 916-446-8147
-----------------------------------------------------
Fax | 916-446-8147
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4407 FREEPORT BLVD
-----------------------------------------------------
City | SACRAMENTO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95822-2003
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 916-446-8147
-----------------------------------------------------
Fax | 916-446-8147
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | AC 13852
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------