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KAISER
PERMANENTE PHYSICIANS CONVICTED AND/OR UNDER INVESTIGATION OF
SEXUAL ASSAULT,
PERVERSION, ETC.
This has been mirrored for historical purposes from: http://www.hipaaspace.com/Medical_Billing/Coding/NPI/Codes/NPI_1497803381.aspx
NPI
Number |
:
1497803381
Entity Type Code |
:
Individual
Provider Name
(Legal Business Name) |
:
MARK B. ZWEIFACH MD
|
Provider
Business Mailing Address |
First
Line |
:
393 E WALNUT ST
Second Line |
:
3RD FLOOR PHR SYSTEMS
City |
:
PASADENA
State |
:
CA
Zip |
:
911880001
Country |
:
US
Telephone Number |
:
0000000000
Fax Number |
:
0000000000
|
Provider
Business Practice Location Address |
First Line |
:
4405 VANDEVER AVE
Second Line |
:
City |
:
SAN DIEGO
State |
:
CA
Zip |
:
921203315
Country |
:
US
Telephone Number |
:
6195285000
Fax Number |
:
|
Authorized
Official |
Title or Position |
:
Name |
:
Credential |
:
Telephone Number |
:
|
Provider
Enumeration Date |
:
01/08/2007
Last Update
Date |
:
11/29/2007
NPI Number 1497803381 has the “Individual”
type of ownership and has been registered to the following primary
business legal name (which is a provider name or healthcare
organization name) — MARK B. ZWEIFACH MD.
Records indicate that the provider gender is
“Male”.
The enumeration date of this NPI Number is
01/08/2007.
NPI Numer information was last updated at
11/29/2007.
The provider is physically located (Business Practice
Location) at:
4405 VANDEVER AVE
SAN DIEGO , CA
921203315
US
The provider can be reached at his practice location
using the following numbers:
Phone 6195285000
Fax
The provider's official mailing address is:
393 E WALNUT ST
3RD FLOOR PHR SYSTEMS
PASADENA , CA
911880001
US
The contact numbers associated with the mailing address
are:
Phone 0000000000
Fax 0000000000
The authorized official registered with the “1497803381”
NPI Number is .
The authorized official title (position) is .
You can reach the authorized official at the following
phone number .
Scope of Practice
The following information about the speciality of the
provider is available:
# |
Taxonomy Code |
Taxonomy |
License Number |
License Number State |
1
2084P0800X
Psychiatry
G48626
CA
Legacy Identifiers
For crosswalk purposes, the following legacy (non-NPI)
identifiers are available for this provider:
# |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
1
00G486260
MEDICAID
CA
2
A51120
MEDICARE UPIN
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