Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | G32290 | CA |
Y | 111NI0900X | Internist | G32290 | CA |
NPI | 1003276494 |
---|---|
Provider Name | Dr. Michael Zigelman |
First Address | Arroyo Grande, CA 93420-1407 |
Second Address | Arroyo Grande, CA 93420-1407 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/02/2016 |
Last Update Date | 29/02/2016 |