Individual
CAMILO ZAKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1520 SAN PABLO ST STE 1300, LOS ANGELES, CA 90033-5312
(323) 442-5900
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A100858
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A100858
STATE LICENSE NUMBER
CA
Enumeration date
12/07/2007
Last updated
11/30/2022
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