Healthcare Provider Details

I. General information

NPI: 1326051616
Provider Name (Legal Business Name): MICHAEL J ZUPANCIC MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 06/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1033 LOS PALOS DR
SALINAS CA
93901
US

IV. Provider business mailing address

1033 LOS PALOS DR
SALINAS CA
93901-3916
US

V. Phone/Fax

Practice location:
  • Phone: 831-757-2058
  • Fax: 831-757-0232
Mailing address:
  • Phone: 831-649-1000
  • Fax: 831-649-4962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License NumberA91184
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA91184
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: