Gary L Zagelbaum, MD a Prof Corp

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

G36630 Issued in CA

Legal business name

GARY L ZAGELBAUM, MD A PROF CORP

Practice address

6200 Wilshire Blvd
Suite 1504
Los Angeles, CA 90048-5816

Phone

(323) 857-1323

Fax

(323) 857-7089

NPI assigned

Sep 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gary L Zagelbaum, MD

Title

President Physician

Phone

(323) 857-1323

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1316049463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD",
            "address_2": "SUITE 1504",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485816",
            "telephone_number": "323-857-1323",
            "fax_number": "323-857-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD",
            "address_2": "SUITE 1504",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485816",
            "telephone_number": "323-857-1323",
            "fax_number": "323-857-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY L ZAGELBAUM, MD A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "ZAGELBAUM",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "323-857-1323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G36630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pulmonary Disease Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.