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NPI Code Detail

MEDICARE: KAMAL ZAKKA MD

MEDICARE: KAMAL ZAKKA 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
1207WX0107XRetina Specialist (Ophthalmology) PhysicianA37403CA

General Provider Information

NPI Number : 1851914543
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMAL ZAKKA MD
Provider Business Mailing 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 :
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2020
Last Update Date : 05/28/2020

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Directions to “ KAMAL ZAKKA MD” Practice Location

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