Individual
MR. ERIC ZYWICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
570 W 4TH ST, SAN BERNARDINO, CA 92401-1405
(949) 303-9811
(760) 216-5791
Mailing address
207 CHICAGO AVE, HUNTINGTON BEACH, CA 92648-5258
(493) 039-8119
(760) 216-5791
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95007578
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95007578
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95007578
BRN
CA
05
—
95007578
—
CA
Enumeration date
10/09/2017
Last updated
03/05/2025
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