Morton Zebrack
General Practice Physician
74976 Us Highway 111
Indian Wells
, California 92210-7117
Morton Zebrack
General Practice Physician
74976 Us Highway 111
Indian Wells
, California 92210-7117
(760) 200-4382
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Morton Zebrack
- 78455 Sunrise Canyon Ave
- Palm Desert, CA
- Zip : 92211-2603
- Fax : (760) 200-4382
- Phone : (760) 772-5149
Second Address
- Morton Zebrack
- 74976 Us Highway 111
- Indian Wells, CA
- Zip : 92210-7117
- Fax : (760) 568-4555
- Phone : (760) 568-4544
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | A28654 | CA |
National Provider Identifier
| NPI | 1003943259 |
|---|---|
| Provider Name | Morton Zebrack |
| First Address | Palm Desert, CA 92211-2603 |
| Second Address | Indian Wells, CA 92210-7117 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2007 |
| Last Update Date | 19/03/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A286540 | BLUE SHIELD OF CALIFORNIA (01) | CA |
| A83821 | (02) | CA |
| P00296004 | RAILROAD PIN # (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.