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NPI Code Detail

MEDICARE: ZELJKA HELENA KOSTICH M.D

MEDICARE: ZELJKA HELENA KOSTICH 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
1207P00000XEmergency Medicine PhysicianA71520CA

General Provider Information

NPI Number : 1487698114
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZELJKA HELENA KOSTICH M.D
Provider Business Mailing Address
First Line : 2100 POWELL STREET
Second Line : STE 920
City : EMERYVILLE
State : CA
Zip : 94608-1803
Country : US
Telephone Number : 510-350-2777
Fax Number :
Provider Business Practice Location Address
First Line : 36485 INLAND VALLEY DR
Second Line :
City : WILDOMAR
State : CA
Zip : 92595-9681
Country : US
Telephone Number : 951-677-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 02/28/2024

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