Organization
ZIMBROFF AND MOSKOVITZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN LOUIS ZIMBROFF M.D., (PRESIDENT)
(909) 981-4242
Entity
Organization
Contact information
Practice address
1317 W FOOTHILL BLVD, SUITE 200, UPLAND, CA 91786-3676
(909) 981-4242
Mailing address
1317 W FOOTHILL BLVD, SUITE 200, UPLAND, CA 91786-3676
(909) 981-4242
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YYY49990Y
BLUE SHIELD
CA
Enumeration date
10/24/2006
Last updated
02/02/2009
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