Provider Demographics
NPI:1174833792
Name:ZHOU, YAN HAI (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:YAN
Middle Name:HAI
Last Name:ZHOU
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:MILLBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94030-1214
Mailing Address - Country:US
Mailing Address - Phone:650-588-8367
Mailing Address - Fax:650-588-8511
Practice Address - Street 1:1615 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:MILLBRAE
Practice Address - State:CA
Practice Address - Zip Code:94030-1214
Practice Address - Country:US
Practice Address - Phone:650-588-8367
Practice Address - Fax:650-588-8511
Is Sole Proprietor?:No
Enumeration Date:2010-10-16
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC13983171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist