Healthcare Provider Details

I. General information

NPI: 1639342207
Provider Name (Legal Business Name): ZACHARY A FILIP MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2008
Last Update Date: 06/17/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27345 JEFFERSON AVE
TEMECULA CA
92590
US

IV. Provider business mailing address

24687 MONROE AVE
MURRIETA CA
92562-9591
US

V. Phone/Fax

Practice location:
  • Phone: 951-699-9201
  • Fax: 951-699-9205
Mailing address:
  • Phone: 951-506-1040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberA109347
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: