Healthcare Provider Details

I. General information

NPI: 1619995859
Provider Name (Legal Business Name): JAMES R. ZIEGENBEIN, M.D., INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10267 NEWVILLE AVE
DOWNEY CA
90241
US

IV. Provider business mailing address

P. O. BOX 90125
LONG BEACH CA
90809-0125
US

V. Phone/Fax

Practice location:
  • Phone: 562-861-6405
  • Fax: 564-861-6405
Mailing address:
  • Phone: 800-404-2353
  • Fax: 562-795-0676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberG68469
License Number StateCA

VIII. Authorized Official

Name: JAMES R ZIEGENBEIN
Title or Position: OWNER
Credential: M.D.
Phone: 562-861-6405