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Organization
ZIVEN
Active
Organization
ZIVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT PALIN (CEO)
(818) 416-3572
Entity
Organization
Contact information
Practice address
21575 DOME TRL, TOPANGA, CA 90290-3645
(818) 416-3572
Mailing address
21575 DOME TRL, TOPANGA, CA 90290-3645
(818) 416-3572
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202102010174
ENTITY NUMBER
—
Enumeration date
02/19/2021
Last updated
02/19/2021
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