MEDICARE: DR. ALEX V ZAND 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	A77599	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649288002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEX V ZAND MD

Provider Business Mailing Address
First Line	:	1010 W LA VETA AVE STE 610
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-4306
Country	:	US
Telephone Number	:	714-285-2311
Fax Number	:	714-285-2319

Provider Business Practice Location Address
First Line	:	1010 W LA VETA AVE
Second Line	:	STE 610
City	:	ORANGE
State	:	CA
Zip	:	92868-4306
Country	:	US
Telephone Number	:	714-285-2311
Fax Number	:	714-285-2319

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

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	12/22/2011

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