Provider Demographics
NPI:1912403163
Name:ZHOU, QINWEN (MD)
Entity type:Individual
Prefix:
First Name:QINWEN
Middle Name:
Last Name:ZHOU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JENNY
Other - Middle Name:
Other - Last Name:ZHOU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:315 SOUTH COAST HIGHWAY 101
Mailing Address - Street 2:SUITE U#179
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024
Mailing Address - Country:US
Mailing Address - Phone:760-230-2251
Mailing Address - Fax:760-230-2251
Practice Address - Street 1:662 ENCINITAS BLVD STE 220
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-6791
Practice Address - Country:US
Practice Address - Phone:760-230-2251
Practice Address - Fax:760-633-7879
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA164101207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine