Individual
FELISE S ZOLLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(800) 926-8273
(888) 539-8781
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
036-112043
IL
2084N0400X
Neurology Physician
036-112043
IL
2084N0400X
Neurology Physician
Primary
A48890
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112043-1
—
IL
05
—
036112043-2
—
IL
01
—
P00625077
RAILROAD MEDICARE
IL
Enumeration date
12/05/2006
Last updated
02/17/2021
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