Healthcare Provider Details

I. General information

NPI: 1841263316
Provider Name (Legal Business Name): ZIN SURGICAL ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2006
Last Update Date: 04/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

845 S FAIRMONT AVE #2
LODI CA
95240-5113
US

IV. Provider business mailing address

845 S FAIRMONT AVE #2
LODI CA
95240-5113
US

V. Phone/Fax

Practice location:
  • Phone: 209-367-1878
  • Fax: 209-367-1896
Mailing address:
  • Phone: 209-367-1878
  • Fax: 209-367-1896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA76320
License Number StateCA

VIII. Authorized Official

Name: DR. CATHLEEN MARIE LIGMAN
Title or Position: MD/PRESIDENT
Credential: MD
Phone: 209-367-1878