Healthcare Provider Details

I. General information

NPI: 1447600317
Provider Name (Legal Business Name): AARON JOSEPH ZAKS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2016
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 MILITARY W STE 101
BENICIA CA
94510-2446
US

IV. Provider business mailing address

1440 MILITARY W STE 101
BENICIA CA
94510-2446
US

V. Phone/Fax

Practice location:
  • Phone: 707-745-0711
  • Fax: 707-745-0788
Mailing address:
  • Phone: 77-450-7117
  • Fax: 707-745-0788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A15814
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: