Healthcare Provider Details

I. General information

NPI: 1396239646
Provider Name (Legal Business Name): ZINMAN DDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2018
Last Update Date: 10/07/2020
Certification Date: 10/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13003 VAN NUYS BLVD STE H
PACOIMA CA
91331-8321
US

IV. Provider business mailing address

13003 VAN NUYS BLVD STE H
PACOIMA CA
91331-8321
US

V. Phone/Fax

Practice location:
  • Phone: 818-834-0011
  • Fax: 818-834-0099
Mailing address:
  • Phone: 818-834-0011
  • Fax: 818-834-0099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. TUVIA ZINMAN
Title or Position: DENTIST/PRESIDENT
Credential: DDS
Phone: 818-834-0011