Healthcare Provider Details

I. General information

NPI: 1184613655
Provider Name (Legal Business Name): TIMOTHY ZALUDEK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/18/2005
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25500 MEDICAL CENTER DR
MURRIETA CA
92562-5965
US

IV. Provider business mailing address

3156 VISTA WAY SUITE 405
OCEANSIDE CA
92056-3622
US

V. Phone/Fax

Practice location:
  • Phone: 909-696-6000
  • Fax:
Mailing address:
  • Phone: 760-439-6581
  • Fax: 760-439-6585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberG86139
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberG86139
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: