Doctor Name: | DR. ZENON ROMAN ZUK |
NPI Number: | 1235432998 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G43987 |
Business Practice Address: | 2010 Zonal Ave 5p-31 Los Angeles, CA - 900890121 |
Business Phone Number: | 3232265236 |
Business Fax Number: | 3232265236 |
Mailing Address: | 1300 Gates Ave, MANHATTAN BEACH |
State: | CA |
Postal Code: | 902666908 |
Phone Number: | 3103744574 |
Fax Number: | 3103744574 |
NPI Enumeration Date: | 12/17/2010 |
NPI Last Update Date: | 12/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G43987 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |