Healthcare Provider Details

I. General information

NPI: 1699896381
Provider Name (Legal Business Name): RICHARD FERDINAND ZIPF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 10/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4925 J STREET
SACRAMENTO CA
95819-3828
US

IV. Provider business mailing address

4925 J STREET
SACRAMENTO CA
95819-3828
US

V. Phone/Fax

Practice location:
  • Phone: 916-487-9198
  • Fax: 916-481-1615
Mailing address:
  • Phone: 916-487-9198
  • Fax: 916-481-1615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberG11397
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: