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NPI Code Detail

MEDICARE: XIANJIE ZHOU L.A.C

MEDICARE: XIANJIE ZHOU L.A.C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist8256CA

General Provider Information

NPI Number : 1073793634
Entity Type Code : Individual
Provider Name (Legal Business Name) : XIANJIE ZHOU L.A.C
Provider Business Mailing Address
First Line : 2565 E COLORADO BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91107-3745
Country : US
Telephone Number : 626-666-5811
Fax Number :
Provider Business Practice Location Address
First Line : 2565 E COLORADO BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91107-3745
Country : US
Telephone Number : 626-666-5811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2007
Last Update Date : 11/11/2007

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