Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | A30813 | CA |
NPI | 1215933148 |
---|---|
Provider Name | Dr. Robert William Ziering |
First Address | Vista, CA 92083-6032 |
Second Address | Vista, CA 92083-6032 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2005 |
Last Update Date | 04/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A308130 | (05) | CA |
A26246 | (02) | |
ZZZ84978Z | BLUE SHIELD (01) |