MEDICARE: NICHOLAS A ZUBYK MD

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	207W00000X	Ophthalmology Physician	G40798	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	G40798	OTHER	CA	MEDICAL LICENSE

General Provider Information

NPI Number	:	1285625624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS A ZUBYK MD

Provider Business Mailing Address
First Line	:	1080 SORRENTO DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92107-4141
Country	:	US
Telephone Number	:	619-981-1118
Fax Number	:

Provider Business Practice Location Address
First Line	:	1080 SORRENTO DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92107-4141
Country	:	US
Telephone Number	:	619-981-1118
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2005
Last Update Date	:	01/12/2017

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Directions to “ NICHOLAS A ZUBYK MD” Practice Location

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