Healthcare Provider Details

I. General information

NPI: 1538132204
Provider Name (Legal Business Name): HARVEY ZALSMAN JR. DDS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25455 BARTON RD SUITE 103A
LOMA LINDA CA
92354-3128
US

IV. Provider business mailing address

25455 BARTON RD SUITE 103A
LOMA LINDA CA
92354-3128
US

V. Phone/Fax

Practice location:
  • Phone: 909-558-6288
  • Fax: 909-558-6290
Mailing address:
  • Phone: 909-558-6288
  • Fax: 909-558-6290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number32001
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: