Organization
GARY L ZAGELBAUM, MD A PROF CORP
Active
Organization
GARY L ZAGELBAUM, MD A PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY L ZAGELBAUM MD (PRESIDENT PHYSICIAN)
(323) 857-1323
Entity
Organization
Contact information
Practice address
6200 WILSHIRE BLVD, SUITE 1504, LOS ANGELES, CA 90048-5816
(323) 857-1323
(323) 857-7089
Mailing address
6200 WILSHIRE BLVD, SUITE 1504, LOS ANGELES, CA 90048-5816
(323) 857-1323
(323) 857-7089
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G36630
CA
Other
Enumeration date
09/01/2006
Last updated
03/19/2013
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