Healthcare Provider Details

I. General information

NPI: 1215932090
Provider Name (Legal Business Name): MICHAEL ANTHONY ZAPF D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2005
Last Update Date: 01/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 MARIN ST STE 290
THOUSAND OAKS CA
91360-4236
US

IV. Provider business mailing address

555 MARIN ST STE 290
THOUSAND OAKS CA
91360-4236
US

V. Phone/Fax

Practice location:
  • Phone: 805-497-6979
  • Fax: 818-777-7028
Mailing address:
  • Phone: 805-497-6979
  • Fax: 818-777-7028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE3322
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: