Healthcare Provider Details

I. General information

NPI: 1881847853
Provider Name (Legal Business Name): JAMES ZAGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JAMES ZAGER M.D.

II. Dates (important events)

Enumeration Date: 11/04/2008
Last Update Date: 12/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3334 E COAST HWY
CORONA DEL MAR CA
92625-2328
US

IV. Provider business mailing address

3334 E COAST HWY
CORONA DEL MAR CA
92625-2328
US

V. Phone/Fax

Practice location:
  • Phone: 949-400-6034
  • Fax: 949-644-1908
Mailing address:
  • Phone: 949-400-6034
  • Fax: 949-644-1908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberG12650
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: