MEDICARE: DR. JEFFERY JOHN ZIELINSKI MD

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	207P00000X	Emergency Medicine Physician	G59479	CA

General Provider Information

NPI Number	:	1326273244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFERY JOHN ZIELINSKI MD

Provider Business Mailing Address
First Line	:	666 LOCUST ST.
Second Line	:	APT # 15
City	:	PASADENA
State	:	CA
Zip	:	91106-1432
Country	:	US
Telephone Number	:	626-660-6316
Fax Number	:

Provider Business Practice Location Address
First Line	:	5151 STATE UNIVERSITY DR
Second Line	:	STUDENT HEALTH CENTER
City	:	LOS ANGELES
State	:	CA
Zip	:	90032-4226
Country	:	US
Telephone Number	:	323-343-3342
Fax Number	:	323-343-3304

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

Provider Enumeration Date	:	05/20/2009
Last Update Date	:	03/05/2021

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