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NPI Code Detail

MEDICARE: JAY WILLIAM ZIMMERMAN M.D.

MEDICARE: JAY WILLIAM ZIMMERMAN M.D.
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
1207N00000XDermatology PhysicianA5124CA

General Provider Information

NPI Number : 1396789731
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAY WILLIAM ZIMMERMAN M.D.
Provider Business Mailing Address
First Line : 2255 YGNACIO VALLEY RD STE B1
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94598-3335
Country : US
Telephone Number : 925-945-7005
Fax Number : 925-236-2784
Provider Business Practice Location Address
First Line : 2255 YGNACIO VALLEY RD STE B1
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94598-3335
Country : US
Telephone Number : 925-945-7005
Fax Number : 925-236-2784
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 07/21/2022

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