Provider Demographics
NPI:1477948412
Name:ZHOU, SIWEI (MD)
Entity Type:Individual
Prefix:
First Name:SIWEI
Middle Name:
Last Name:ZHOU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25460 MEDICAL CENTER DR STE 103
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-5985
Mailing Address - Country:US
Mailing Address - Phone:833-333-7262
Mailing Address - Fax:
Practice Address - Street 1:25460 MEDICAL CENTER DR STE 103
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-5985
Practice Address - Country:US
Practice Address - Phone:833-333-7262
Practice Address - Fax:951-639-6047
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-06
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA161057207WX0109X, 207WX0200X
PAMD470064207WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
No207WX0109XAllopathic & Osteopathic PhysiciansOphthalmologyNeuro-ophthalmology