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

Last updated

Mar 19, 2013By the provider in NPPES

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, MDNPI 1255586905

Title

President Physician

Phone

(323) 857-1323

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary L Zagelbaum, M.D.

  • Specialist
  • Los Angeles, CA
  • NPI 1255586905
  Authorized official Same address or phone

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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• Gary R. Massa DDS, MSD, Inc.
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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.