MEDICARE: ZAGHI MEDICAL 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	133V00000X	Registered Dietitian
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1346942133
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZAGHI MEDICAL INC

Provider Business Mailing Address
First Line	:	5665 WILSHIRE BLVD # 1609
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-3710
Country	:	US
Telephone Number	:	424-600-8360
Fax Number	:

Provider Business Practice Location Address
First Line	:	5665 WILSHIRE BLVD # 1609
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-3710
Country	:	US
Telephone Number	:	424-600-8360
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JUSTIN ZAGHI
Credential	:	MD
Telephone Number	:	424-600-8360

Provider Enumeration Date	:	03/17/2023
Last Update Date	:	11/05/2025

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