Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | A113378 | CA |
Y | 207RP1001X | Pulmonary Disease | A113378 | CA |
N | 207RP1001X | Pulmonary Disease | MD433282 | PA |
NPI | 1053581769 |
---|---|
Provider Name | Dr. Jamal Julian Zaka |
First Address | Walnut Creek, CA 94598-3045 |
Second Address | Walnut Creek, CA 94598-3045 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2008 |
Last Update Date | 18/07/2011 |