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Individual

DR. RICHARD FERDINAND ZIPF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G11397
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G113970
INDIVIDUAL BILLING #
CA
05
00G113970
CA
01
00G113971
MEDICARE INDIVIDUAL PTAN
01
169989381
NPI
01
180025520
RAILROAD MEDICARE
01
195715900
DEPT OF LABOR
01
942209655
TRICARE
01
942209655958190000
TRICARE
01
958190000
TRICARE
01
CGP128485
CCS - CALIF STATE
CA
Enumeration date
04/02/2007
Last updated
10/16/2008
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