Individual
ANDREW MARK ZIVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5210 FLORE TERR, L-210, SAN DIEGO, CA 92122
(858) 581-1311
(858) 581-1311
Mailing address
5210 FLORE TERR, L-210, SAN DIEGO, CA 92122
(858) 581-1311
(858) 581-1311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C37110
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C37110
MEDICAL LICENSE
CA
Enumeration date
09/20/2006
Last updated
07/08/2007
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