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NPI Code Detail

MEDICARE: IDO TZIVION MS

MEDICARE: IDO TZIVION MS
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1568254860
Entity Type Code : Individual
Provider Name (Legal Business Name) : IDO TZIVION MS
Provider Business Mailing Address
First Line : 8128 PASADENA DR
Second Line :
City : ROSEVILLE
State : CA
Zip : 95747-4774
Country : US
Telephone Number : 248-787-2840
Fax Number :
Provider Business Practice Location Address
First Line : 800 W EL CAMINO REAL STE 180
Second Line :
City : MOUNTAIN VIEW
State : CA
Zip : 94040-2586
Country : US
Telephone Number : 949-743-1457
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2025
Last Update Date : 05/21/2025

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Directions to “ IDO TZIVION MS” Practice Location

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