Healthcare Provider Details
I. General information
NPI: 1538626973
Provider Name (Legal Business Name): ZILNH MEDICAL CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/21/2019
Last Update Date: 03/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12511 OXNARD ST
NORTH HOLLYWOOD CA
91606-4458
US
IV. Provider business mailing address
12511 OXNARD ST
NORTH HOLLYWOOD CA
91606-4458
US
V. Phone/Fax
- Phone: 818-768-3000
- Fax:
- Phone: 818-768-3000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207T00000X |
| Taxonomy | Neurological Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ZINOVY
N
LEKHT
Title or Position: PRESIDENT
Credential: M. D.
Phone: 818-768-3000