Basic Information
Provider Information
NPI: 1124473327
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZHOU
FirstName: SHIWEI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
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OtherOrganizationType:  
OtherLastName:  
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Mailing Information
Address1: 5767 W CENTURY BLVD SUITE 400
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900955631
CountryCode: US
TelephoneNumber: 3103018707
FaxNumber: 3103018751
Practice Location
Address1: 760 WESTWOOD PLZ # 48-240
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900245055
CountryCode: US
TelephoneNumber: 3108259989
FaxNumber: 3102064446
Other Information
ProviderEnumerationDate: 04/26/2016
LastUpdateDate: 07/26/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/26/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XA151347CAN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
174400000XA151347CAN Other Service ProvidersSpecialist 
2084P0804XA151347CAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry

No ID Information.


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