Individual
DR. MATTHEW B ZAVOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1321 COTTONWOOD ST, SUITE 205, WOODLAND, CA 95695-5131
(530) 666-1631
(530) 406-0352
Mailing address
1321 COTTONWOOD ST, SUITE 205, WOODLAND, CA 95695-5131
(530) 666-1631
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A95031
CA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
A95031
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A950310
BLUE SHIELD
CA
05
—
00A950310
—
CA
01
—
P00745239
MEDICARE RAILROAD CARRIER
CA
Enumeration date
11/01/2006
Last updated
03/03/2011
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