Organization Name: | M. ZARAY-MIZRAHI, M.D., INC |
NPI Number: | 1407171465 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MORDEHAI ZARAY-MIZRAHI (PRESIDENT) |
Mailing Address: | 5170 Sepulveda Blvd 270 Sherman Oaks |
State: | CA US |
Postal Code: | 914031171 |
Phone Number: | 8189810428 |
Fax Number: | 8189810432 |
NPI Enumeration Date: | 04/02/2010 |
NPI Last Update Date: | 04/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A35870 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |