Organization Name: | BIRIKTI ZERATZION MD INC |
NPI Number: | 1790880946 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BIRIKTI W ZERATZION (OWNER) |
Mailing Address: | 25825 Forsythe Way Stevenson Ranch |
State: | CA US |
Postal Code: | 913811434 |
Phone Number: | 6612843499 |
Fax Number: | |
NPI Enumeration Date: | 09/13/2006 |
NPI Last Update Date: | 11/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | A73429 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |