Healthcare Provider Details

I. General information

NPI: 1083240022
Provider Name (Legal Business Name): KYLE BRIAN ZUNIGA MD/MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2020
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 PARNASSUS AVE
SAN FRANCISCO CA
94143-2202
US

IV. Provider business mailing address

10833 LE CONTE AVE # CHS27139
LOS ANGELES CA
90095-3075
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-2200
  • Fax: 415-353-2641
Mailing address:
  • Phone: 310-825-9945
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberA181357
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: