MEDICARE: MICHEL ZAKARI 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
1	207RN0300X	Nephrology Physician	A92507	CA

General Provider Information

NPI Number	:	1750361093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHEL ZAKARI M.D.

Provider Business Mailing Address
First Line	:	1505 WILSON TER
Second Line	:	STE 155
City	:	GLENDALE
State	:	CA
Zip	:	91206-4032
Country	:	US
Telephone Number	:	818-500-4055
Fax Number	:	818-500-4065

Provider Business Practice Location Address
First Line	:	1500 S CENTRAL AVE
Second Line	:	SUITE 300
City	:	GLENDALE
State	:	CA
Zip	:	91204-2530
Country	:	US
Telephone Number	:	818-242-0475
Fax Number	:	818-662-0260

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

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	09/17/2019

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