Healthcare Provider Details

I. General information

NPI: 1922378298
Provider Name (Legal Business Name): ROBERT JOSEPH ZAPPIA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2012
Last Update Date: 01/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30800 E SUNSET DR S
REDLANDS CA
92373-7481
US

IV. Provider business mailing address

30800 E SUNSET DR S
REDLANDS CA
92373-7481
US

V. Phone/Fax

Practice location:
  • Phone: 909-794-2798
  • Fax: 909-794-0288
Mailing address:
  • Phone: 909-794-2798
  • Fax: 909-794-0288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberG16582
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: