Healthcare Provider Details

I. General information

NPI: 1962435305
Provider Name (Legal Business Name): ZUHRE N TUTUNCU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 01/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 WASHINGTON ST
SAN DIEGO CA
92103-2231
US

IV. Provider business mailing address

10790 RANCHO BERNARDO RD
SAN DIEGO CA
92127-5705
US

V. Phone/Fax

Practice location:
  • Phone: 619-278-3300
  • Fax:
Mailing address:
  • Phone: 619-278-3300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberA78495
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: