# RONALD D ZLOTOLOW MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386131910
- **Authorized official:** MACKENZIE HAHN (NCPDP COORDINATOR)
- **Authorized official phone:** (888) 590-0808

## Contact information

- **Practice address:** 2232 SANTA MONICA BLVD, STE 101, SANTA MONICA, CA 90404
- **Practice address phone:** (888) 590-0808
- **Practice address fax:** (866) 740-4689
- **Mailing address:** 200 RITTENHOUSE CIRCLE, EAST BUILDING STE 5, BRISTOL, PA 19007
- **Mailing address phone:** (888) 590-0808
- **Mailing address fax:** (866) 740-4689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | A75075 | CA | Yes |

## Other

- **Enumeration date:** 04/19/2018
- **Last updated:** 04/19/2018