MEDICARE: STEVEN ZLATT 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	207L00000X	Anesthesiology Physician	G85052	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G86052	OTHER	CA	BLUE CROSS PIN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	00G860520	OTHER	CA	BLUE SHIELD PIN

General Provider Information

NPI Number	:	1386633303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN ZLATT M.D.

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	:	16311 VENTURA BLVD
Second Line	:	#705/710
City	:	ENCINO
State	:	CA
Zip	:	91436-2124
Country	:	US
Telephone Number	:	818-205-9500
Fax Number	:

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

Provider Enumeration Date	:	10/21/2005
Last Update Date	:	03/24/2011

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Directions to “ STEVEN ZLATT M.D.” Practice Location

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