Organization
ZAKARIA BOSHRA, MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAKARIA TAKY BOSHRA M.D. (CEO)
(562) 650-2466
Entity
Organization
Contact information
Practice address
11755 VICTORY BLVD STE 202, NORTH HOLLYWOOD, CA 91606-3423
(562) 650-2466
Mailing address
11755 VICTORY BLVD STE 202, NORTH HOLLYWOOD, CA 91606-3423
(562) 650-2466
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A51439
CA
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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