Diana Zagalskaya MD a Professional Corp

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A106875 Issued in CA

Legal business name

DIANA ZAGALSKAYA MD A PROFESSIONAL CORP

Practice address

14111 Van Ness Ave
Gardena, CA 90249-2950

Phone

(323) 449-4052

NPI assigned

Aug 11, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Diana Zagalskaya, MD

Title

President

Phone

(323) 449-4052

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1003225434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14111 VAN NESS AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902492950",
            "telephone_number": "323-449-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14111 VAN NESS AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902492950",
            "telephone_number": "323-449-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA ZAGALSKAYA MD A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "ZAGALSKAYA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-449-4052",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A106875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth Diaz Alfaro, NONE
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• Alejandra T. Diaz

• Pediatrics Physician in Gardena, CA
• Providers in Gardena, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.