Healthcare Provider Details

I. General information

NPI: 1598803603
Provider Name (Legal Business Name): DAVID ZAMORANO, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 10/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2888 LONG BEACH BLVD SUITE 400
LONG BEACH CA
90806-1530
US

IV. Provider business mailing address

2888 LONG BEACH BLVD SUITE 400
LONG BEACH CA
90806-1530
US

V. Phone/Fax

Practice location:
  • Phone: 562-595-5424
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberA73913
License Number StateCA

VIII. Authorized Official

Name: DENISE PAIGE
Title or Position: CPC
Credential:
Phone: 562-595-5424