Individual
GARY L ZAGELBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6200 WILSHIRE BLVD, SUITE 1504, LOS ANGELES, CA 90048-5801
(323) 857-1323
(323) 857-7089
Mailing address
6200 WILSHIRE BLVD, SUITE 1504, LOS ANGELES, CA 90048-5801
(323) 857-1323
(323) 857-7089
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G36630
CA
Other
Enumeration date
11/21/2008
Last updated
03/06/2009
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