Basic Information
Provider Information
NPI: 1487188462
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZHOU
FirstName: ANN
MiddleName: M
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 9602
Address2:  
City: MISSION HILLS
State: CA
PostalCode: 913469602
CountryCode: US
TelephoneNumber: 8188375559
FaxNumber: 8187924793
Practice Location
Address1: 18133 VENTURA BLVD STE 204
Address2:  
City: TARZANA
State: CA
PostalCode: 91356
CountryCode: US
TelephoneNumber: 8184667700
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/17/2017
LastUpdateDate: 03/07/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/07/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207Q00000X20A18129CAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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