Provider Demographics
NPI:1497864102
Name:ZHOU, YUZHEN (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:YUZHEN
Middle Name:
Last Name:ZHOU
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:LYDIA
Other - Middle Name:YUZHEN
Other - Last Name:ZHOU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1973 TYNDRUM LN
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-6115
Mailing Address - Country:US
Mailing Address - Phone:916-983-8886
Mailing Address - Fax:
Practice Address - Street 1:5815 STOCKTON BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95824-3051
Practice Address - Country:US
Practice Address - Phone:916-451-8898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC5012171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC0050120Medicaid