Provider Demographics
NPI:1235137407
Name:ZAKOWSKI, MARK (MD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:ZAKOWSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3530 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-2328
Mailing Address - Country:US
Mailing Address - Phone:213-637-3703
Mailing Address - Fax:213-639-0797
Practice Address - Street 1:8700 BEVERLY BLVD
Practice Address - Street 2:SUITE8211
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1804
Practice Address - Country:US
Practice Address - Phone:213-637-3703
Practice Address - Fax:213-639-0797
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2007-07-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG75044207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology