Provider Demographics
NPI:1306069547
Name:ZHOU, ZHI MIAN (CERTIFIED ACUPUNCTUR)
Entity type:Individual
Prefix:
First Name:ZHI
Middle Name:MIAN
Last Name:ZHOU
Suffix:
Gender:M
Credentials:CERTIFIED ACUPUNCTUR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 A E GARVEY AVE
Mailing Address - Street 2:GM HEALTH CLINIC
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91755
Mailing Address - Country:US
Mailing Address - Phone:626-288-6339
Mailing Address - Fax:626-288-6339
Practice Address - Street 1:1008 A E GARVEY AVE
Practice Address - Street 2:GM HEALTH CLINIC
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91755
Practice Address - Country:US
Practice Address - Phone:626-288-6339
Practice Address - Fax:626-288-6339
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC0031770171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC0031770Medicaid