Provider Demographics
NPI:1578558623
Name:ZAWITKOWSKI, CLAUDIO V (MD,)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIO
Middle Name:V
Last Name:ZAWITKOWSKI
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 1:13023 OLMEDA CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-1117
Mailing Address - Country:US
Mailing Address - Phone:858-385-0797
Mailing Address - Fax:858-385-0792
Practice Address - Street 1:4535 30TH ST
Practice Address - Street 2:SUITE 103
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92116-4212
Practice Address - Country:US
Practice Address - Phone:619-260-1958
Practice Address - Fax:619-260-1983
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-14
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA49794207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A497940Medicaid
CAA49794Medicare ID - Type Unspecified
CA00A497940Medicaid
CAWA49794AMedicare PIN