Provider Demographics
NPI:1285778787
Name:ZHOU, JING YU (LAC)
Entity type:Individual
Prefix:
First Name:JING YU
Middle Name:
Last Name:ZHOU
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 W LAS TUNAS DR
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-1113
Mailing Address - Country:US
Mailing Address - Phone:626-282-7397
Mailing Address - Fax:626-282-5829
Practice Address - Street 1:606 W LAS TUNAS DR
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-1113
Practice Address - Country:US
Practice Address - Phone:626-282-7397
Practice Address - Fax:626-282-5829
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC4354171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist