Provider Demographics
NPI:1457780652
Name:ZOU, ELIZABETH YUNHONG
Entity Type:Individual
Prefix:MISS
First Name:ELIZABETH
Middle Name:YUNHONG
Last Name:ZOU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13987 COTEAU DR APT 11
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90604-2662
Mailing Address - Country:US
Mailing Address - Phone:626-759-2850
Mailing Address - Fax:
Practice Address - Street 1:529 E VALLEY BLVD STE 248A
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-3671
Practice Address - Country:US
Practice Address - Phone:626-759-2850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-07
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15662171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist