Healthcare Provider Details

I. General information

NPI: 1619653094
Provider Name (Legal Business Name): ZYGOTHERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2023
Last Update Date: 09/05/2024
Certification Date: 06/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1569 LEXANN AVE SUITE 204
SAN JOSE CA
95121-1795
US

IV. Provider business mailing address

1569 LEXANN AVE SUITE 204
SAN JOSE CA
95121-1795
US

V. Phone/Fax

Practice location:
  • Phone: 408-531-8808
  • Fax: 408-531-8940
Mailing address:
  • Phone: 408-531-8935
  • Fax: 408-531-8940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPER N DO
Title or Position: OWNER
Credential: M.D.
Phone: 408-313-7620