MEDICARE: AMANDA ZAYTOUN

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	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1750093225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA ZAYTOUN

Provider Business Mailing Address
First Line	:	6851 LENNOX AVE STE 105
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91405-4073
Country	:	US
Telephone Number	:	818-454-5917
Fax Number	:

Provider Business Practice Location Address
First Line	:	6851 LENNOX AVE STE 105
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91405-4073
Country	:	US
Telephone Number	:	866-557-7924
Fax Number	:

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

Provider Enumeration Date	:	12/15/2022
Last Update Date	:	04/22/2026

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Directions to “ AMANDA ZAYTOUN ” Practice Location

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