Healthcare Provider Details

I. General information

NPI: 1265353031
Provider Name (Legal Business Name): MICHAEL D ZIMMERMAN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

642 POLLASKY AVE STE 210
CLOVIS CA
93612-1875
US

IV. Provider business mailing address

642 POLLASKY AVE STE 210
CLOVIS CA
93612-1875
US

V. Phone/Fax

Practice location:
  • Phone: 559-575-3703
  • Fax: 559-298-8760
Mailing address:
  • Phone: 559-575-3703
  • Fax: 559-298-8760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL D ZIMMERMAN
Title or Position: PRESIDENT
Credential: PHD
Phone: 559-575-3703