Healthcare Provider Details

I. General information

NPI: 1679611735
Provider Name (Legal Business Name): ROBERT BRUCE ZEIGER L.AC, O.M.D., PHARM.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3031 TELEGRAPH AVE STE 106
BERKELEY CA
94705-2052
US

IV. Provider business mailing address

3031 TELEGRAPH AVE STE 106
BERKELEY CA
94705-2052
US

V. Phone/Fax

Practice location:
  • Phone: 510-843-7397
  • Fax: 510-843-7398
Mailing address:
  • Phone: 510-843-7397
  • Fax: 510-843-7398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC 00547
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: