MEDICARE: ZUMAYA MEDICAL GROUP, INC.

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	261QE0002X	Emergency Care Clinic/Center

General Provider Information

NPI Number	:	1871943761
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZUMAYA MEDICAL GROUP, INC.

Provider Business Mailing Address
First Line	:	1711 W TEMPLE ST STE 1059
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-7329
Country	:	US
Telephone Number	:	626-899-4573
Fax Number	:	626-899-4575

Provider Business Practice Location Address
First Line	:	1711 W TEMPLE ST STE 1059
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-7329
Country	:	US
Telephone Number	:	626-899-4573
Fax Number	:	626-899-4575

Authorized Official
Title or Position	:	VICE-PRESIDENT
Name	:	MS. VICKI P ROLLINS
Credential	:	RN
Telephone Number	:	626-899-4573

Provider Enumeration Date	:	06/21/2016
Last Update Date	:	04/08/2021

Similar Medicare Providers

1396603601 — AZEL GIZELLE REYNOZO NP
Practice Location Address:

1711 W TEMPLE ST
LOS ANGELES, CA
90026-7329

Practice Phone: 213-989-6100
Practice Fax: 213-484-3552

1770736456 — UROGYNECOLOGY ASSOCIATES, A MEDICAL CORPORATION
Practice Location Address:

1711 W TEMPLE ST
LOS ANGELES, CA
90026-7329

Practice Phone: 657-888-3008
Practice Fax: 657-888-9181

1942605126 — ASSEFA EJIGU MEKONNEN PMHNP
Practice Location Address:

1711 W TEMPLE ST
LOS ANGELES, CA
90026-7329

Practice Phone: 213-989-6100
Practice Fax:

1982260899 — ANTHONY SAMAAN DPM
Practice Location Address:

1711 W TEMPLE ST
LOS ANGELES, CA
90026-7329

Practice Phone: 213-989-6100
Practice Fax:

1689225427 — MR. ROBERT WAYNE BAKER N.P.
Practice Location Address:

1711 W TEMPLE ST STE 1082
LOS ANGELES, CA
90026-7329

Practice Phone: 818-395-3060
Practice Fax:

1750995916 — YERANUI STEPANYAN NP ADVANCE PRACTICE NURSING APC
Practice Location Address:

1711 W TEMPLE ST FL 1
LOS ANGELES, CA
90026-7329

Practice Phone: 213-989-6100
Practice Fax:

Directions to “ZUMAYA MEDICAL GROUP, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.