MEDICARE: JOSEPH JETT F. ZAPANTA, DDS.INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	35048	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	B35048-01	OTHER	CA	DENTICAL

General Provider Information

NPI Number	:	1023207388
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSEPH JETT F. ZAPANTA, DDS.INC

Provider Business Mailing Address
First Line	:	5175 W SUNSET BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-5715
Country	:	US
Telephone Number	:	323-660-4926
Fax Number	:

Provider Business Practice Location Address
First Line	:	5175 W SUNSET BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-5715
Country	:	US
Telephone Number	:	323-660-4926
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. JOSEPH JETT FERNANDEZ ZAPANTA
Credential	:	D.M.D
Telephone Number	:	323-660-4926

Provider Enumeration Date	:	10/23/2007
Last Update Date	:	03/30/2022

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