Organization
ALEXANDER ZUCKERBRAUN PHD. MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER ZUCKERBRAUN PHD. MD (OWNER)
(805) 922-4541
Entity
Organization
Contact information
Practice address
801 E CHAPEL ST, SANTA MARIA, CA 93454-4607
(805) 922-4541
Mailing address
801 E CHAPEL ST, SANTA MARIA, CA 93454-4607
(805) 922-4541
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
C21327
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C213270
—
CA
Enumeration date
05/21/2007
Last updated
08/22/2020
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