Healthcare Provider Details

I. General information

NPI: 1679197123
Provider Name (Legal Business Name): ZP MEDICAL SERVICES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2020
Last Update Date: 06/01/2020
Certification Date: 06/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12121 WILSHIRE BLVD
LOS ANGELES CA
90025-1123
US

IV. Provider business mailing address

45 W 45TH ST FL 16
NEW YORK NY
10036-4602
US

V. Phone/Fax

Practice location:
  • Phone: 212-308-3076
  • Fax:
Mailing address:
  • Phone: 212-308-3076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MAURICE ROBERT PETERS JR.
Title or Position: PRESIDENT
Credential: MD
Phone: 212-308-3076