# RONALD D ZLOTOLOW MEDICAL GROUP INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1629466602
- **Authorized official:** YARIV E ROTHMAN (TREASY)
- **Authorized official phone:** (310) 396-3635

## Contact information

- **Practice address:** 2232 SANTA MONICA BLVD STE 101, SANTA MONICA, CA 90404-2312
- **Practice address phone:** (310) 396-3635
- **Practice address fax:** (310) 396-3615
- **Mailing address:** 2232 SANTA MONICA BLVD STE 101, SANTA MONICA, CA 90404-2312
- **Mailing address phone:** (310) 396-3635
- **Mailing address fax:** (310) 396-3615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/29/2014
- **Last updated:** 03/06/2018