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Organization

RICHARD F ZIPF MD MEDICAL CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD FERDINAND ZIPF MD (PRESIDENT)
(916) 487-9198
Entity
Organization

Contact information

Practice address
4925 J STREET, SACRAMENTO, CA 95819-3828
(916) 487-9198
(916) 481-1615
Mailing address
4925 J STREET, SACARAMENTO, CA 95819-3828
(916) 487-9198
(916) 481-1615

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G11397
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G113970
BILLING ID#
CA
05
00G113970
CA
01
1013063502
NPI
01
180025520
RAILROAD MEDICARE
01
195715900
DEPT. OF LABOR
01
958190000
TRICARE
01
CGP128485
CCS - STATE
CA
01
ZZZ06498Z
MEDICARE PTAN
Enumeration date
01/26/2007
Last updated
10/16/2008
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