Individual
DOUGLAS M. ZIEDONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(858) 534-7792
(619) 471-9017
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G59681
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2143461
—
MA
Enumeration date
10/24/2006
Last updated
03/20/2018
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