# ZAKARIA BOSHRA, MD INC.

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

## Provider details

- **NPI number:** 1891957460
- **Authorized official:** ZAKARIA TAKY BOSHRA M.D. (CEO)
- **Authorized official phone:** (562) 650-2466

## Contact information

- **Practice address:** 11755 VICTORY BLVD STE 202, NORTH HOLLYWOOD, CA 91606-3423
- **Practice address phone:** (562) 650-2466
- **Mailing address:** 11755 VICTORY BLVD STE 202, NORTH HOLLYWOOD, CA 91606-3423
- **Mailing address phone:** (562) 650-2466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A51439 | CA | Yes |

## Other

- **Enumeration date:** 06/25/2008
- **Last updated:** 06/25/2008