Provider Demographics
NPI:1083617666
Name:ZIV, ELI T (MD)
Entity Type:Individual
Prefix:DR
First Name:ELI
Middle Name:T
Last Name:ZIV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4849 VAN NUYS BLVD STE 217
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-2128
Mailing Address - Country:US
Mailing Address - Phone:818-902-2800
Mailing Address - Fax:818-782-8979
Practice Address - Street 1:4849 VAN NUYS BLVD STE 217
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-2128
Practice Address - Country:US
Practice Address - Phone:818-902-2800
Practice Address - Fax:818-782-8979
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA70745207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI20324Medicare UPIN
CAW3130Medicare PIN