Organization
CSI PHYSICAN & MEDICAL SERVICES, LLC
Active
Parent organization
ZAK MEDICAL CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ZAK MEDICAL CORP
Authorized official
TAMARA SULLIVAN (MANAGER)
(760) 837-0364
Entity
Organization
Contact information
Practice address
73710 ALESSANDRO DR., BLD CT A1, PALM DESERT, CA 92260
(760) 837-0364
(760) 837-3843
Mailing address
P.O. BOX 533, PALM DESERT, CA 92260
(760) 837-0364
(760) 837-3843
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A61113
CA
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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