Healthcare Provider Details

I. General information

NPI: 1174641443
Provider Name (Legal Business Name): ZORN & NAYLON A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 06/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1489 W LACEY BLVD SUITE 101
HANFORD CA
93230-5957
US

IV. Provider business mailing address

PO BOX 29
HANFORD CA
93232-0029
US

V. Phone/Fax

Practice location:
  • Phone: 559-530-3073
  • Fax: 559-530-3074
Mailing address:
  • Phone: 559-530-3073
  • Fax: 559-530-3074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG49060
License Number StateCA

VIII. Authorized Official

Name: DR. ELINOR M ZORN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 559-530-3073