| Paolo Zizzo DO Inc | |
|
5055 Avenida Encinas #100 Carlsbad CA 92008-4375 | |
| (760) 448-4412 | |
| (760) 918-9006 |
| Full Name | Paolo Zizzo DO Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5055 Avenida Encinas, Carlsbad, California |
| Authorized Official Name and Position | Paolo Vincent Zizzo (PRESIDENT) |
| Authorized Official Contact | 7604484412 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paolo Zizzo DO Inc 5055 Avenida Encinas #100 Carlsbad CA 92008-4375 Ph: (760) 448-4412 | Paolo Zizzo DO Inc 5055 Avenida Encinas #100 Carlsbad CA 92008-4375 Ph: (760) 448-4412 |
| NPI Number | 1396750170 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 11/08/2012 |
| Medicare PECOS PAC ID | 3971568650 |
|---|---|
| Medicare Enrollment ID | O20041122000783 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396750170 | NPI | - | NPPES |
| 1396750170 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A6835 (California) | Primary |
| Provider Name | Paolo V Zizzo |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1396750279 PECOS PAC ID: 3476534108 Enrollment ID: I20040527000783 |
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