Zeljko Zic M.D. INC.
Internal Medicine, Endocrinology, Diabetes & Metabolism in San Pedro, CA. Organization (NPI-2).
NPI number1740200526
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1740200526
- Entity type
- Organization (NPI-2)
- Legal business name
- Zeljko Zic M.D. INC.
- Organization subpart
- No
- Enumeration date
- Jul 21, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | A25474 | CA | Yes |
Practice location
1294 W 2nd St Ste 205San Pedro, CA 90732-3208
Phone 310-548-0201 · Fax 310-547-3340
Mailing address
1294 W 6th St Ste 205San Pedro, CA 90731-2993
Phone 310-548-0101 · Fax 310-547-3340
Authorized official
Susan Pacheco
Medical Biller
3105480201
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