| Martin R Zapata Do Inc | |
|
11865 Firestone Blvd Norwalk CA 90650-2902 | |
| (562) 806-1214 | |
| (562) 806-1218 |
| Full Name | Martin R Zapata Do Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11865 Firestone Blvd, Norwalk, California |
| Authorized Official Name and Position | Martin R Zapata (DIRECTOR) |
| Authorized Official Contact | 6268905915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin R Zapata Do Inc 11865 Firestone Blvd Norwalk CA 90650-2902 Ph: (562) 806-1214 | Martin R Zapata Do Inc 11865 Firestone Blvd Norwalk CA 90650-2902 Ph: (562) 806-1214 |
| NPI Number | 1194924498 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 12/28/2020 |
| Medicare PECOS PAC ID | 4587744438 |
|---|---|
| Medicare Enrollment ID | O20080103000729 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194924498 | NPI | - | NPPES |
| 020A80580 | Other | CA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A8058 (California) | Primary |
| Provider Name | Martin R Zapata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689628240 PECOS PAC ID: 1658264270 Enrollment ID: I20040205001309 |
| Provider Name | Aimee A Cardenas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669712253 PECOS PAC ID: 7517193865 Enrollment ID: I20131115000804 |
| Provider Name | Christine Mac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104363720 PECOS PAC ID: 0446518195 Enrollment ID: I20171229001394 |
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