Individual
DR. JULIETTE M ZELADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3100 TONGASS AVE, KETCHIKAN, AK 99901-5746
(907) 225-7346
(907) 228-8325
Mailing address
1510 SAN PABLO STREET, SUITE 514, LOS ANGELES, CA 90033-5324
(323) 442-5910
(323) 442-6798
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
207479
AK
208600000X
Surgery Physician
A88046
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A880460
BLUE SHIELD PROVIDER NUMBER
CA
Enumeration date
08/13/2007
Last updated
07/16/2024
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