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Provider Information for 1386808673



DR. MEYSAM ZAKER MEYSAM ZAKER

Other Name:   MEYSAM ZAKER
Gender: MALE

Individual NPI: 1386808673

Calendar Last Updated: 2011-12-30

Details

Name Value
NPI 1386808673
Enumeration Date 2008-07-15
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 3204 DANAHA ST
TORRANCE, CA 90505-6925
United States

Phone: 310-325-2015 | Fax:
View Map External Link
Primary Practice Address 2470 S. WESTERN AVE SAN PEDRO
CA, CA 90732
United States

Phone: 424-224-7300 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist CA 57220