Zeljko Zic M.D. Inc.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

A25474 Issued in CA

Legal business name

ZELJKO ZIC M.D. INC.

Practice address

1294 W 2ND St Ste 205
San Pedro, CA 90732-3208

Phone

(310) 548-0201

Fax

(310) 547-3340

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Susan Pacheco

Title

Medical Biller

Phone

(310) 548-0201

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740200526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1294 W 6TH ST STE 205",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312993",
            "telephone_number": "310-548-0101",
            "fax_number": "310-547-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1294 W 2ND ST STE 205",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323208",
            "telephone_number": "310-548-0201",
            "fax_number": "310-547-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZELJKO ZIC M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "310-548-0201",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A25474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery Youngblood
• Mario A Zabatta, DC
• Janai Zamora Fukutake
• Lorna Zamora
• Neda Zeim, O.D.
• Zenithmedicine
• Griselda Zermino, MENTAL HEALTH, LMFT
• Zheng Zhang
• Zeljko Zic, M.D.
• John Zivkovic

• Endocrinology, Diabetes & Metabolism Physician in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.