Healthcare Provider Details

I. General information

NPI: 1558370882
Provider Name (Legal Business Name): MILFORD ALAN ZASSLOW M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 BAY LAUREL DR
MENLO PARK CA
94025-5860
US

IV. Provider business mailing address

1730 BAY LAUREL DR
MENLO PARK CA
94025-5860
US

V. Phone/Fax

Practice location:
  • Phone: 650-533-6700
  • Fax: 650-323-9996
Mailing address:
  • Phone: 650-533-6700
  • Fax: 650-323-9996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberG47960
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: