Provider Demographics
NPI:1831373109
Name:ZHOU, YI (RD, MS, LAC)
Entity type:Individual
Prefix:MS
First Name:YI
Middle Name:
Last Name:ZHOU
Suffix:
Gender:F
Credentials:RD, MS, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 W FOOTHILL BLVD
Mailing Address - Street 2:SUITE # B
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-4736
Mailing Address - Country:US
Mailing Address - Phone:909-618-5960
Mailing Address - Fax:
Practice Address - Street 1:226 W FOOTHILL BLVD STE B
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-2740
Practice Address - Country:US
Practice Address - Phone:909-618-5960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-22
Last Update Date:2017-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
923949133V00000X
CAAC 11465171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered