Individual
ANNA ZAKASOVSKAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2337 OAK GROVE RD, WALNUT CREEK, CA 94598-3506
(925) 230-2386
(415) 291-0489
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110004030
VA
363A00000X
Physician Assistant
C0004902
MD
363A00000X
Physician Assistant
Primary
PA51257
CA
363AM0700X
Medical Physician Assistant
PA51257
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA51257
CA PA LICENSE
CA
Enumeration date
10/19/2012
Last updated
02/12/2024
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