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NPI Code Detail

MEDICARE: KAMAL ZAKKA MD AN OPHTHALMOLOGICAL CORP

MEDICARE: KAMAL ZAKKA MD AN OPHTHALMOLOGICAL CORP
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
1207WX0107XRetina Specialist (Ophthalmology) Physician

General Provider Information

NPI Number : 1548833692
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAMAL ZAKKA MD AN OPHTHALMOLOGICAL CORP
Provider Business Mailing Address
First Line : 10724 WILSHIRE BLVD APT 1209
Second Line :
City : LOS ANGELES
State : CA
Zip : 90024-4473
Country : US
Telephone Number : 310-270-5493
Fax Number :
Provider Business Practice Location Address
First Line : 9100 WILSHIRE BLVD STE 265E
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90212-3440
Country : US
Telephone Number : 800-444-5241
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : KAMAL AMAL ZAKKA
Credential : MD
Telephone Number : 310-270-5493
Provider Enumeration Date : 07/16/2021
Last Update Date : 07/16/2021

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