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NPI Code Detail

MEDICARE: NICOLAS ANDRE ZAVALA MD

MEDICARE: NICOLAS ANDRE ZAVALA 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
1207L00000XAnesthesiology PhysicianA195684CA

General Provider Information

NPI Number : 1699235275
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLAS ANDRE ZAVALA MD
Provider Business Mailing Address
First Line : 300 PASTEUR DR
Second Line :
City : STANFORD
State : CA
Zip : 94305-2200
Country : US
Telephone Number : 650-723-4000
Fax Number :
Provider Business Practice Location Address
First Line : 8700 BEVERLY BLVD # SB
Second Line :
City : WEST HOLLYWOOD
State : CA
Zip : 90048-1804
Country : US
Telephone Number : 310-423-5841
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2019
Last Update Date : 01/26/2026

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