Paolo Zizzo Do Inc | |
5055 Avenida Encinas #100 Carlsbad CA 92008-4375 | |
(760) 448-4412 | |
(760) 918-9006 |
Full Name | Paolo Zizzo Do Inc |
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Speciality | Internal Medicine |
Location | 5055 Avenida Encinas, Carlsbad, California |
Authorized Official Name and Position | Paolo Vincent Zizzo (PRESIDENT) |
Authorized Official Contact | 7604484412 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Paolo Zizzo Do Inc 5055 Avenida Encinas #100 Carlsbad CA 92008-4375 Ph: (760) 448-4412 | Paolo Zizzo Do Inc 5055 Avenida Encinas #100 Carlsbad CA 92008-4375 Ph: (760) 448-4412 |
NPI Number | 1396750170 |
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Provider Enumeration Date | 07/30/2006 |
Last Update Date | 11/08/2012 |
Medicare PECOS PAC ID | 3971568650 |
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Medicare Enrollment ID | O20041122000783 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396750170 | NPI | - | NPPES |
1396750170 | Other | CA | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 20A6835 (California) | Primary |
Provider Name | Paolo V Zizzo |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1396750279 PECOS PAC ID: 3476534108 Enrollment ID: I20040527000783 |
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