Provider Demographics
NPI:1134311418
Name:ZISMAN, ALIZA (LIC AC)
Entity Type:Individual
Prefix:DR
First Name:ALIZA
Middle Name:
Last Name:ZISMAN
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:ALIZA
Other - Middle Name:
Other - Last Name:ZISMAN-WINEGRED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICAC
Mailing Address - Street 1:1215 E GRAND AVE APT 202B
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92027-3146
Mailing Address - Country:US
Mailing Address - Phone:424-382-5951
Mailing Address - Fax:
Practice Address - Street 1:16236 SAN DIEGUITO RD
Practice Address - Street 2:
Practice Address - City:RANCHO SANTA FE
Practice Address - State:CA
Practice Address - Zip Code:92091-9802
Practice Address - Country:US
Practice Address - Phone:424-382-5951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC6420171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist