Healthcare Provider Details

I. General information

NPI: 1063512069
Provider Name (Legal Business Name): WILLIAM J ZEPF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 06/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2030 SUTTER PL #2000
DAVIS CA
95616-6201
US

IV. Provider business mailing address

10470 OLD PLACERVILLE RD SUITE 100
SACRAMENTO CA
95827-2539
US

V. Phone/Fax

Practice location:
  • Phone: 530-750-5800
  • Fax: 530-750-5804
Mailing address:
  • Phone: 866-681-0736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberG72554
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: