Healthcare Provider Details

I. General information

NPI: 1235281601
Provider Name (Legal Business Name): JUDITH B. ZACHER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43585 MONTEREY AVE SUITE 7
PALM DESERT CA
92260-9342
US

IV. Provider business mailing address

43585 MONTEREY AVE SUITE 7
PALM DESERT CA
92260-9342
US

V. Phone/Fax

Practice location:
  • Phone: 760-773-6616
  • Fax: 760-773-6618
Mailing address:
  • Phone: 760-773-6616
  • Fax: 760-773-6618

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberG78060
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: