MEDICARE: ZACHARY M CALLAS

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	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility
2	103TS0200X	School Psychologist		CA

General Provider Information

NPI Number	:	1568773968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY M CALLAS

Provider Business Mailing Address
First Line	:	535 S CURSON AVE # 49MB
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-5252
Country	:	US
Telephone Number	:	530-913-8031
Fax Number	:

Provider Business Practice Location Address
First Line	:	535 S CURSON AVE # 49MB
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-5252
Country	:	US
Telephone Number	:	530-913-8031
Fax Number	:

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

Provider Enumeration Date	:	06/30/2010
Last Update Date	:	06/27/2022

Similar Medicare Providers

1003136185 — MARYLU MOLINA MSW
Practice Location Address:

535 S CURSON AVE LBBY ROOM
LOS ANGELES, CA
90036-5252

Practice Phone: 323-936-0859
Practice Fax:

1063400745 — DR. JAE S CHU M.D.
Practice Location Address:

12610 S WESTERN AVE
LOS ANGELES, CA
90047-5252

Practice Phone: 323-757-1853
Practice Fax: 323-757-1281

1558486118 — DR. AFSANEH MATLOOB PSY.D.
Practice Location Address:

1293 S BEVERLY GLEN BLVD APT 308
LOS ANGELES, CA
90024-5252

Practice Phone: 310-701-0157
Practice Fax:

1922316645 — C &K MEDICAL GROUP
Practice Location Address:

12610 S WESTERN AVE
LOS ANGELES, CA
90047-5252

Practice Phone: 323-757-1853
Practice Fax: 323-757-1281

1558764084 — RYANN BRENNER
Practice Location Address:

12610 S WESTERN AVE
LOS ANGELES, CA
90047-5252

Practice Phone: 323-757-1853
Practice Fax:

1972987329 — LOVING HANDS ENTERPRISES, LLC
Practice Location Address:

5252 E BEVERLY BLVD
LOS ANGELES, CA
90022-2002

Practice Phone: 665-474-2768
Practice Fax: 888-405-4595

Directions to “ ZACHARY M CALLAS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.