MEDICARE: JUSTIN ZAGHI 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	207R00000X	Internal Medicine Physician	90454	GA
2	207R00000X	Internal Medicine Physician	ME152272	FL
3	207R00000X	Internal Medicine Physician	327558	LA
4	207R00000X	Internal Medicine Physician	311240	NY
5	207R00000X	Internal Medicine Physician	T4294	TX
6	207R00000X	Internal Medicine Physician	A140541	CA

General Provider Information

NPI Number	:	1427476654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN ZAGHI MD

Provider Business Mailing Address
First Line	:	5665 WILSHIRE BLVD # 1609
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-3710
Country	:	US
Telephone Number	:	818-618-6255
Fax Number	:

Provider Business Practice Location Address
First Line	:	5665 WILSHIRE BLVD # 1609
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-3710
Country	:	US
Telephone Number	:	818-618-6255
Fax Number	:

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

Provider Enumeration Date	:	04/04/2014
Last Update Date	:	08/06/2025

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Directions to “ JUSTIN ZAGHI MD” Practice Location

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