Healthcare Provider Details

I. General information

NPI: 1720228224
Provider Name (Legal Business Name): RITA ZORIAN MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2009
Last Update Date: 02/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2577 SAMARITAN DR SUITE 830
SAN JOSE CA
95124-4100
US

IV. Provider business mailing address

2577 SAMARITAN DR SUITE 830
SAN JOSE CA
95124-4100
US

V. Phone/Fax

Practice location:
  • Phone: 408-356-1319
  • Fax: 408-356-6296
Mailing address:
  • Phone: 408-356-1319
  • Fax: 408-356-6296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License NumberC50055
License Number StateCA

VIII. Authorized Official

Name: GRACE KUO
Title or Position: BILLING MANAGER
Credential:
Phone: 650-631-8300