Healthcare Provider Details

I. General information

NPI: 1972519064
Provider Name (Legal Business Name): GUY ZIMBARDI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 W 8TH ST STE 102
NATIONAL CITY CA
91950-1002
US

IV. Provider business mailing address

444 W 8TH ST STE 102
NATIONAL CITY CA
91950-1002
US

V. Phone/Fax

Practice location:
  • Phone: 619-474-8666
  • Fax:
Mailing address:
  • Phone: 619-474-8666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number226206
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberC54777
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: