Individual
ANDRE ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3291 LOMA VISTA RD, VENTURA, CA 93003-3099
(805) 652-6139
Mailing address
3291 LOMA VISTA RD, VENTURA, CA 93003-3099
(805) 652-6139
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A88091
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A88091
STATE MEDICAL LICENSE
CA
Enumeration date
06/30/2008
Last updated
12/06/2021
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