Individual
DR. ZAKIAT NUR-DAROJAT JALILVAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
30212 TOMAS STE 180, RANCHO SANTA MARGARITA, CA 92688-2174
(949) 923-0608
(855) 326-5678
Mailing address
32742 COPPERCREST DR, TRABUCO CANYON, CA 92679-3373
(949) 923-0608
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A12141
CA
208M00000X
Hospitalist Physician
Primary
20A12141
CA
Other
Enumeration date
02/04/2012
Last updated
05/25/2022
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