Individual
ADEL EDWARD ZAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1233 N VERMONT AVE, SUITE 3, LOS ANGELES, CA 90029-1749
(323) 660-2090
(323) 953-9549
Mailing address
1233 N VERMONT AVE, SUITE 3, LOS ANGELES, CA 90029-1749
(323) 660-2090
(323) 953-9549
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A24061
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A240610
BLUE SHIELD PROVIDER #
CA
05
—
00A240610
—
CA
01
—
A24061
MEDICAL LICENSE #
CA
Enumeration date
09/13/2006
Last updated
07/09/2007
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