| Reynaldo C Zapata Md Inc | |
|
2105 Beverly Blvd Suite 211 Los Angeles CA 90057-2216 | |
| (213) 413-6207 | |
| Not Available |
| Full Name | Reynaldo C Zapata Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2105 Beverly Blvd, Los Angeles, California |
| Authorized Official Name and Position | Reynaldo Zapata (OWNER) |
| Authorized Official Contact | 2134136207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reynaldo C Zapata Md Inc 2105 Beverly Blvd Suite 211 Los Angeles CA 90057-2216 Ph: (213) 413-6207 | Reynaldo C Zapata Md Inc 2105 Beverly Blvd Suite 211 Los Angeles CA 90057-2216 Ph: (213) 413-6207 |
| NPI Number | 1861668238 |
|---|---|
| Provider Enumeration Date | 05/05/2008 |
| Last Update Date | 05/05/2008 |
| Medicare PECOS PAC ID | 8325112204 |
|---|---|
| Medicare Enrollment ID | O20080811000748 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861668238 | NPI | - | NPPES |
| 00A401940-9 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A40194 (California) | Primary |
| Provider Name | Reynaldo C Zapata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740356658 PECOS PAC ID: 2062586944 Enrollment ID: I20080811000741 |
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