Provider Demographics
NPI:1063652915
Name:ZAKS, ALEXANDER (MD)
Entity Type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:
Last Name:ZAKS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 N ROBERTSON BLVD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1788
Mailing Address - Country:US
Mailing Address - Phone:310-271-8300
Mailing Address - Fax:310-786-2038
Practice Address - Street 1:250 N ROBERTSON BLVD
Practice Address - Street 2:SUITE 108
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-1788
Practice Address - Country:US
Practice Address - Phone:310-271-8300
Practice Address - Fax:310-786-2038
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-04
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA54137207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine