MEDICARE: RALPH ZITNIK

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	207RP1001X	Pulmonary Disease Physician	G152684	CA

General Provider Information

NPI Number	:	1497304497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RALPH ZITNIK

Provider Business Mailing Address
First Line	:	606 E VALERIO ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93103-1954
Country	:	US
Telephone Number	:	650-996-5321
Fax Number	:

Provider Business Practice Location Address
First Line	:	606 E VALERIO ST
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93103-1954
Country	:	US
Telephone Number	:	650-996-5321
Fax Number	:

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

Provider Enumeration Date	:	09/11/2019
Last Update Date	:	09/11/2019

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Directions to “ RALPH ZITNIK ” Practice Location

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