Organization
JOSE MANUEL ZOZAYA MD A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN RYONO (OFFICE MANAGER)
(909) 878-6665
Entity
Organization
Contact information
Practice address
250 S GRAND AVE, GLENDORA, CA 91741-4218
(626) 857-3140
Mailing address
PO BOX 4007, DIAMOND BAR, CA 91765-0007
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A85792
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A857920
—
CA
Enumeration date
12/08/2006
Last updated
04/26/2022
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