Healthcare Provider Details

I. General information

NPI: 1053821637
Provider Name (Legal Business Name): JAMIE ZUROMSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2017
Last Update Date: 10/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 HARRISON ST
OAKLAND CA
94612-3811
US

IV. Provider business mailing address

100 ELLINWOOD DR
PLEASANT HILL CA
94523-2462
US

V. Phone/Fax

Practice location:
  • Phone: 510-444-3344
  • Fax:
Mailing address:
  • Phone: 925-969-3100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: