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General NPI Number Information
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NPI Number | 1871943761
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Entity Type | Organization
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Legal Business Name | ZUMAYA MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 06/21/2016
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Last Update Date | 04/08/2021
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Provider Practice Location Address
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Address Line | 1711 W TEMPLE ST STE 1059
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City | LOS ANGELES
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State | CA
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Zip | 90026-7329
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Country | US
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Telephone | 626-899-4573
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Fax | 626-899-4575
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Provider Business Mailing Address
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Address Line | 1711 W TEMPLE ST STE 1059
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City | LOS ANGELES
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State | CA
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Zip | 90026-7329
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Country | US
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Telephone | 626-899-4573
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Fax | 626-899-4575
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | MS. VICKI P ROLLINS
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Credential | RN
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Telephone | 626-899-4573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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