Provider Demographics
NPI:1326273244
Name:ZIELINSKI, JEFFERY JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFERY
Middle Name:JOHN
Last Name:ZIELINSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:666 LOCUST ST.
Mailing Address - Street 2:APT # 15
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-1432
Mailing Address - Country:US
Mailing Address - Phone:626-660-6316
Mailing Address - Fax:
Practice Address - Street 1:5151 STATE UNIVERSITY DR
Practice Address - Street 2:STUDENT HEALTH CENTER
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90032-4226
Practice Address - Country:US
Practice Address - Phone:323-343-3342
Practice Address - Fax:323-343-3304
Is Sole Proprietor?:No
Enumeration Date:2009-05-20
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG59479207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine