Healthcare Provider Details

I. General information

NPI: 1780137034
Provider Name (Legal Business Name): MARTA ZULIK MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2016
Last Update Date: 08/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23625 HOLMAN HWY
MONTEREY CA
93940-5902
US

IV. Provider business mailing address

PO BOX 222484
CARMEL CA
93922-2484
US

V. Phone/Fax

Practice location:
  • Phone: 831-298-0702
  • Fax:
Mailing address:
  • Phone: 831-298-0702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberC54656
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberC54656
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberC54656
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberC54656
License Number StateCA

VIII. Authorized Official

Name: DR. MARTA ZULIK
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 831-298-0702