Individual
ZACHARY ERNSTBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12746 W JEFFERSON BLVD STE 2000, PLAYA VISTA, CA 90094-2776
(424) 315-2220
Mailing address
12746 W JEFFERSON BLVD FL 2, PLAYA VISTA, CA 90094-2885
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A159105
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2017
Last updated
07/20/2020
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