Healthcare Provider Details

I. General information

NPI: 1144281189
Provider Name (Legal Business Name): BIRIKTI ZERATZION MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18330 ROSCOE BLVD
NORTHRIDGE CA
91325-4105
US

IV. Provider business mailing address

25825 FORSYTHE WAY
STEVENSON RANCH CA
91381-1434
US

V. Phone/Fax

Practice location:
  • Phone: 747-224-4004
  • Fax:
Mailing address:
  • Phone: 661-284-3499
  • Fax: 661-284-3499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA73429
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberA73429
License Number StateCA

VIII. Authorized Official

Name: BIRIKTI ZERATZION
Title or Position: PRESIDENT/OWNER
Credential: M.D.
Phone: 661-284-3499