Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | A106364 | CA |
NPI | 1013150499 |
---|---|
Provider Name | Dr. Raymond Zimmer |
First Address | Los Angeles, CA 90033-2464 |
Second Address | Los Angeles, CA 90033-2464 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2009 |
Last Update Date | 09/05/2013 |