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NPI Code Detail

MEDICARE: KATHLEEN J. ZISSER M.D.

MEDICARE:   KATHLEEN J. ZISSER  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
1208100000XPhysical Medicine & Rehabilitation PhysicianG73260CA

General Provider Information

NPI Number : 1881791473
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN J. ZISSER M.D.
Provider Business Mailing Address
First Line : 2417 CASTILLO ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-4301
Country : US
Telephone Number : 805-569-1947
Fax Number : 805-569-8772
Provider Business Practice Location Address
First Line : 2417 CASTILLO ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-4301
Country : US
Telephone Number : 805-569-1947
Fax Number : 805-569-8772
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2006
Last Update Date : 07/08/2007

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Directions to “ KATHLEEN J. ZISSER M.D.” Practice Location

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