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NPI Code Detail

MEDICARE: PHILLIP C ZAKOWSKI M.D.

MEDICARE: PHILLIP C ZAKOWSKI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist
2207RI0200XInfectious Disease PhysicianG44562CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205861580
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILLIP C ZAKOWSKI M.D.
Provider Business Mailing Address
First Line : 8635 W 3RD ST STE 465W
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-6111
Country : US
Telephone Number : 310-358-2300
Fax Number : 310-358-2308
Provider Business Practice Location Address
First Line : 8635 W 3RD ST STE 465W
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-6111
Country : US
Telephone Number : 310-358-2300
Fax Number : 310-358-2308
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 05/29/2019

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Directions to “ PHILLIP C ZAKOWSKI M.D.” Practice Location

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