| NPI Details | |
|---|---|
| NPI | 1891957460 |
| Enumeration Date | 06/25/2008 |
| Last Updated | 06/25/2008 |
| Entity Type | Healthcare Provider |
| Active | Over 9 years ago |
| Authorized Information | |
|---|---|
| Name | ZAKARIA TAKY ZAKARIA |
| Position | CEO |
| Phone | (562) 650-2466 |
| Fax | |
| Practice Location | |
|---|---|
| 11755 VICTORY BLVD STE 202 NORTH HOLLYWOOD CA, 91606-3423, US |
|
| Phone | (562) 650-2466 |
| Fax | |
| Business Location | |
|---|---|
| 11755 VICTORY BLVD STE 202 NORTH HOLLYWOOD CA, 91606-3423, US |
|
| Phone | (562) 650-2466 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 208D00000X |
| License State | California |
| License Number | A51439 |
| Remove 1891957460 NPI Number | |
According to our database, Zakaria Boshra, Md Inc. NPI is 1891957460, taxonomy code is 208D00000X and license number is A51439, license state is located at California. Zakaria Boshra, Md Inc. physically located at 11755 Victory Blvd Ste 202, North Hollywood CA, 91606-3423. NPI Number 1033115704 has the healthcare provider type.
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1891957460 NPI number is provided on an as is basis without warranty of any kind. 1891957460 is maintained by the National Plan & Provider Enumeration System. The contents of Zakaria Boshra, Md Inc. are for informational purposes only.
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