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1326273244 NPI number — JEFFERY JOHN ZIELINSKI MD

NPI Number: 1326273244
Health Care Provider/Practitioner: JEFFERY JOHN ZIELINSKI MD

Information about “1326273244” NPI (JEFFERY JOHN ZIELINSKI MD) exists in 1326273244 in HTML format HTML  |  1326273244 in plain Text format TXT  |  1326273244 in PDF (Portable Document Format) PDF  |  1326273244 in an XML format XML  formats.

NPI Number : 1326273244 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326273244",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ZIELINSKI",
    "FirstName": "JEFFERY",
    "MiddleName": "JOHN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "666 LOCUST ST.",
    "SecondLineMailingAddress": "APT # 15",
    "MailingAddressCityName": "PASADENA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91106-1432",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "626-660-6316",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5151 STATE UNIVERSITY DR",
    "SecondLinePracticeLocationAddress": "STUDENT HEALTH CENTER",
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90032-4226",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "323-343-3342",
    "PracticeLocationAddressFaxNumber": "323-343-3304",
    "EnumerationDate": "05/20/2009",
    "LastUpdateDate": "03/05/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207P00000X",
        "TaxonomyName": "Emergency Medicine Physician",
        "LicenseNumber": "G59479",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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