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Individual

JAMES P ZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2001 SANTA MONICA BLVD, SUITE 860, SANTA MONICA, CA 90404-2102
(310) 828-3209
(310) 828-5165
Mailing address
6029 BRISTOL PKWY, 100, CULVER CITY, CA 90230-6643
(310) 417-5900
(310) 410-1001

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G65652
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
W21068
MEDICARE LOCATION PTAN
CA
01
WG65652C
MEDICARE LOCATION PTAN
CA
Enumeration date
08/21/2006
Last updated
12/01/2021
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