Individual
TODD W. ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6555 COYLE AVE, SUITE 330, CARMICHAEL, CA 95608-0303
(916) 965-3702
(916) 965-0335
Mailing address
6555 COYLE AVE, SUITE 330, CARMICHAEL, CA 95608-0303
(916) 965-3702
(916) 965-0335
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G56482
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G56482
CA MEDICAL LICENSE
CA
01
—
ZZZ13841Z
MEDICARE ID - ROSEVILLE
CA
01
—
ZZZ13842Z
MEDICARE ID - CARMICHAEL
CA
01
—
ZZZ29516Z
MEDICARE ID - LINCOLN
CA
01
—
ZZZ43589Z
MEDICARE SUBMITTER ID
CA
Enumeration date
02/08/2007
Last updated
08/29/2012
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