Healthcare Provider Details

I. General information

NPI: 1245353952
Provider Name (Legal Business Name): KATRINE A. ZHIROFF M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 06/15/2022
Certification Date: 06/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11480 BROOKSHIRE AVE STE 204
DOWNEY CA
90241-5023
US

IV. Provider business mailing address

11480 BROOKSHIRE AVE STE 204
DOWNEY CA
90241-5023
US

V. Phone/Fax

Practice location:
  • Phone: 562-977-1690
  • Fax:
Mailing address:
  • Phone: 562-977-1690
  • Fax: 562-904-8836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberA94869
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: