Boris Zaks, MD Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A70603 Issued in CA

Legal business name

BORIS ZAKS, MD INC

Practice address

240 S la Cienega Blvd
Suite 400
Beverly Hills, CA 90211-3324

Phone

(310) 552-3376

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Boris Zaks, MDNPI 1467565168

Title

Owner

Phone

(310) 552-3376

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Boris Zaks, M.D.

  • Dermatology Physician
  • Beverly Hills, CA
  • NPI 1467565168
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1679780423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48349",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900480349",
            "telephone_number": "310-552-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S LA CIENEGA BLVD",
            "address_2": "SUITE 400",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113324",
            "telephone_number": "310-552-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORIS ZAKS, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "ZAKS",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-552-3376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A70603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael T Bontekoe, MS, PA-C
• Heather Marie Booth, M.S.,CCC-A
• Biana Borchenko, FNP-BC
• Michael Charles Borenstein, D.D.S.
• Samantha Borenstein, DDS
• Phabillia Borja, PHYSICIAN
• Michael D. Borookhim, M.D.
• Richard Furman Borst, M.D.
• Shiva Hedvat Borukhim, D.D.S.
• Judilin Bosita

• Dermatology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.