| Doctor Name: | DR. JERETT AARON ZIPIN |
| NPI Number: | 1154386829 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 20A8860 |
| Business Practice Address: | 931 Buena Vista St Suite 405 Duarte, CA - 910101712 |
| Business Phone Number: | 6263584862 |
| Business Fax Number: | |
| Mailing Address: | 423 Waldo Ave, Apt 208 PASADENA |
| State: | CA |
| Postal Code: | 911013923 |
| Phone Number: | 6262777569 |
| Fax Number: | |
| NPI Enumeration Date: | 04/18/2006 |
| NPI Last Update Date: | 11/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | 20A8860 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |