MEDICARE: DR. ARNOLD MOSES ZEIDERMAN 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
1	207V00000X	Obstetrics & Gynecology Physician	G018429	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1306884788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARNOLD MOSES ZEIDERMAN M.D.

Provider Business Mailing Address
First Line	:	601 COURT ST
Second Line	:	SUITE 150
City	:	JACKSON
State	:	CA
Zip	:	95642-2160
Country	:	US
Telephone Number	:	209-223-1483
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 COURT ST
Second Line	:	SUITE 150
City	:	JACKSON
State	:	CA
Zip	:	95642-2160
Country	:	US
Telephone Number	:	209-223-1483
Fax Number	:	209-223-1484

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	03/07/2023

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