Healthcare Provider Details

I. General information

NPI: 1528261559
Provider Name (Legal Business Name): ZITMAN AND JALILIE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20555 PROSPECT RD
CUPERTINO CA
95014-5212
US

IV. Provider business mailing address

20555 PROSPECT RD
CUPERTINO CA
95014-5212
US

V. Phone/Fax

Practice location:
  • Phone: 408-996-1603
  • Fax: 408-996-3550
Mailing address:
  • Phone: 408-996-1603
  • Fax: 408-996-3550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SHELDON A ZITMAN
Title or Position: PARTNER
Credential: MD.
Phone: 408-996-1603