Individual
MORTON ZEBRACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
74976 US HIGHWAY 111, INDIAN WELLS, CA 92210-7117
(760) 568-4544
(760) 568-4555
Mailing address
78455 SUNRISE CANYON AVE, PALM DESERT, CA 92211-2603
(760) 772-5149
(760) 200-4382
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A28654
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A286540
BLUE SHIELD OF CALIFORNIA
CA
01
—
P00296004
RAILROAD PIN #
—
Enumeration date
02/27/2007
Last updated
03/19/2008
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