Zakaria Boshra, MD Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A51439 Issued in CA

Legal business name

ZAKARIA BOSHRA, MD INC.

Practice address

11755 Victory Blvd Ste 202
North Hollywood, CA 91606-3423

Phone

(562) 650-2466

NPI assigned

Jun 25, 2008

Organization subpart

No

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

Authorized official

Name

Zakaria Taky Boshra, M.D.NPI 1811094832

Title

Ceo

Phone

(562) 650-2466

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.

• Zakaria T Boshra

  • Family Medicine Physician
  • Norwalk, CA
  • NPI 1811094832
  NPD (past) Authorized official

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1891957460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11755 VICTORY BLVD STE 202",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063423",
            "telephone_number": "562-650-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11755 VICTORY BLVD STE 202",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063423",
            "telephone_number": "562-650-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAKARIA BOSHRA, MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "BOSHRA",
        "authorized_official_first_name": "ZAKARIA",
        "authorized_official_middle_name": "TAKY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-650-2466",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A51439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.