MEDICARE: STEVEN ZLATT, M.D. INC.

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	207L00000X	Anesthesiology Physician	G86052	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00G86052	OTHER	CA	BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366452112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN ZLATT, M.D. INC.

Provider Business Mailing Address
First Line	:	PO BOX 5486
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92863-5486
Country	:	US
Telephone Number	:	818-550-0900
Fax Number	:	505-293-1524

Provider Business Practice Location Address
First Line	:	12660 RIVERSIDE DR
Second Line	:	STE 300
City	:	STUDIO CITY
State	:	CA
Zip	:	91607-3429
Country	:	US
Telephone Number	:	818-623-5310
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	STEVEN ZLATT
Credential	:	M.D.
Telephone Number	:	310-792-0601

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	03/24/2011

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