Provider Demographics
NPI:1477541001
Name:ZENER, JULIAN C (MD)
Entity Type:Individual
Prefix:
First Name:JULIAN
Middle Name:C
Last Name:ZENER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:198 COHASSET RD
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-2202
Mailing Address - Country:US
Mailing Address - Phone:530-342-0123
Mailing Address - Fax:530-342-6475
Practice Address - Street 1:198 COHASSET RD
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2202
Practice Address - Country:US
Practice Address - Phone:530-342-0123
Practice Address - Fax:530-342-6475
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG14384207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0014100Medicaid
CAGR0014100Medicaid
CAZZZ1658OZMedicare ID - Type UnspecifiedGROUP NUMBER