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Organization
LARRY ZELLER, M.D., INC.
Active
Organization
LARRY ZELLER, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY ZELLER M.D. (DIRECT OWNER)
(818) 888-7815
Entity
Organization
Contact information
Practice address
5400 BALBOA BLVD, STE.#111, ENCINO, CA 91316-1502
(818) 784-8975
(818) 715-1722
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 888-7815
(818) 715-1722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G59651
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
G59651
CA
Other
Enumeration date
03/29/2006
Last updated
02/17/2009
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