MEDICARE: PROF. LI YING ZOU O.M.D.,LAC

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
1	171100000X	Acupuncturist	AC5091	CA

General Provider Information

NPI Number	:	1508122268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PROF. LI YING ZOU O.M.D.,LAC

Provider Business Mailing Address
First Line	:	1353 WESTWOOD BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-4940
Country	:	US
Telephone Number	:	310-477-6835
Fax Number	:	310-477-5033

Provider Business Practice Location Address
First Line	:	1353 WESTWOOD BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-4940
Country	:	US
Telephone Number	:	310-477-6835
Fax Number	:	310-477-5033

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2012
Last Update Date	:	04/06/2012

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