Organization
TRACY ZIVIN-TUTELA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY ZIVIN-TUTELA MD (PRESIDENT)
(732) 672-1486
Entity
Organization
Contact information
Practice address
11037 WARNER AVE STE 265, FOUNTAIN VALLEY, CA 92708-4007
(732) 672-1486
(470) 313-6152
Mailing address
11037 WARNER AVE STE 265, FOUNTAIN VALLEY, CA 92708-4007
(732) 672-1486
(470) 313-6152
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
12/06/2021
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