Individual
DR. KATHLEEN J DENNIS-ZARATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
222 W EULALIA ST, SUITE110, GLENDALE, CA 91204-2849
(818) 551-7127
(818) 551-7131
Mailing address
222 W EULALIA ST, SUITE 110, GLENDALE, CA 91204-2849
(818) 551-7127
(818) 551-7131
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G81715
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760450399
—
CA
05
—
GR0095000
—
CA
01
—
W16156
MEDICARE
CA
Enumeration date
03/09/2006
Last updated
02/28/2017
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