MEDICARE: ZALEWSKI-ZARAGOZA PROFESSIONAL CORPORATION

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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1487257846
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZALEWSKI-ZARAGOZA PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	780 BAY BLVD STE 203
Second Line	:
City	:	CHULA VISTA
State	:	CA
Zip	:	91910-5261
Country	:	US
Telephone Number	:	619-842-2442
Fax Number	:	619-842-2443

Provider Business Practice Location Address
First Line	:	780 BAY BLVD STE 203
Second Line	:
City	:	CHULA VISTA
State	:	CA
Zip	:	91910-5261
Country	:	US
Telephone Number	:	619-713-3571
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROBERT ZALEWSKI- ZARAGOZA
Credential	:	MD
Telephone Number	:	619-842-2442

Provider Enumeration Date	:	11/18/2020
Last Update Date	:	10/13/2022

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