Provider Demographics
NPI:1376779058
Name:ZOOMMED INC
Entity Type:Organization
Organization Name:ZOOMMED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELINA
Authorized Official - Middle Name:T
Authorized Official - Last Name:DOAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-246-8447
Mailing Address - Street 1:7201 HAVEN AVE
Mailing Address - Street 2:SUITE E222
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91701-6065
Mailing Address - Country:US
Mailing Address - Phone:909-246-8447
Mailing Address - Fax:909-614-7168
Practice Address - Street 1:9333 BASELINE RD
Practice Address - Street 2:SUITE 140
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-1350
Practice Address - Country:US
Practice Address - Phone:909-246-8447
Practice Address - Fax:909-614-7168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-08
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA104279207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty