# TRACY ZIVIN-TUTELA MD

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

## Provider details

- **NPI number:** 1609339258
- **Authorized official:** TRACY ZIVIN-TUTELA MD (PRESIDENT)
- **Authorized official phone:** (732) 672-1486

## Contact information

- **Practice address:** 11037 WARNER AVE STE 265, FOUNTAIN VALLEY, CA 92708-4007
- **Practice address phone:** (732) 672-1486
- **Practice address fax:** (470) 313-6152
- **Mailing address:** 11037 WARNER AVE STE 265, FOUNTAIN VALLEY, CA 92708-4007
- **Mailing address phone:** (732) 672-1486
- **Mailing address fax:** (470) 313-6152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2019
- **Last updated:** 12/06/2021