# DR. JAMES JEROME ZIMMERMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1093729121
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G39110 | CA | — |
| 2085R0202X | Diagnostic Radiology Physician | G39110 | CA | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | G39110 | CA | — |
| 2086S0129X | Vascular Surgery Physician | G39110 | CA | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 05/28/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00G391100 | — | CA |
| 01 | — | CP2153 | MEDICARE RAILROAD | CA |
| 05 | — | GR0052800 | — | CA |
