Healthcare Provider Details
I. General information
NPI: 1285606863
Provider Name (Legal Business Name): ROCHELLE ZAK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/07/2006
Last Update Date: 03/19/2021
Certification Date: 03/19/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2330 POST ST. #420
SAN FRANCISCO CA
94115
US
IV. Provider business mailing address
2330 POST ST. 420
SAN FRANCISCO CA
94115
US
V. Phone/Fax
- Phone: 415-885-7886
- Fax: 415-885-3650
- Phone: 415-885-7886
- Fax: 415-885-3650
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | 176119 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084S0012X |
| Taxonomy | Sleep Medicine (Psychiatry & Neurology) Physician |
| License Number | 039291 |
| License Number State | CT |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084S0012X |
| Taxonomy | Sleep Medicine (Psychiatry & Neurology) Physician |
| License Number | G64567 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: