MEDICARE: DR. VICTORIA YAKOVLEVNA ZVONKINA 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	174400000X	Specialist	A95195	CA

General Provider Information

NPI Number	:	1922208172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTORIA YAKOVLEVNA ZVONKINA M.D.

Provider Business Mailing Address
First Line	:	1375 SUTTER ST STE 216
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-5465
Country	:	US
Telephone Number	:	866-887-6673
Fax Number	:	866-442-7632

Provider Business Practice Location Address
First Line	:	1375 SUTTER ST STE 216
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-5465
Country	:	US
Telephone Number	:	866-887-6673
Fax Number	:	866-442-7632

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

Provider Enumeration Date	:	07/24/2007
Last Update Date	:	08/14/2020

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