MEDICARE: DR. ANTHONY JOSEPH ZOPPI 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	207X00000X	Orthopaedic Surgery Physician	G71361	CA
2	207XS0106X	Orthopaedic Hand Surgery Physician	G71361	CA
3	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	G71361	CA
4	207XX0801X	Orthopaedic Trauma Physician	G71361	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G71361	OTHER	CA	MEDICAL LICENSE

General Provider Information

NPI Number	:	1972503431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY JOSEPH ZOPPI M.D.

Provider Business Mailing Address
First Line	:	4644 LINCOLN BLVD
Second Line	:	STE #101
City	:	MARINA DEL REY
State	:	CA
Zip	:	90292-6313
Country	:	US
Telephone Number	:	310-577-8500
Fax Number	:	310-305-7119

Provider Business Practice Location Address
First Line	:	4644 LINCOLN BLVD
Second Line	:	STE #101
City	:	MARINA DEL REY
State	:	CA
Zip	:	90292-6621
Country	:	US
Telephone Number	:	310-577-8500
Fax Number	:	310-305-7119

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

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	06/01/2016

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Directions to “ DR. ANTHONY JOSEPH ZOPPI M.D.” Practice Location

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