Provider Demographics
NPI:1578736617
Name:ZONNER, STEVEN W (DO)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:W
Last Name:ZONNER
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:39141 CIVIC CENTER DR
Mailing Address - Street 2:SUITE 220
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-5818
Mailing Address - Country:US
Mailing Address - Phone:510-248-1018
Mailing Address - Fax:510-608-6055
Practice Address - Street 1:33077 ALVARADO NILES RD
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-3109
Practice Address - Country:US
Practice Address - Phone:510-248-1500
Practice Address - Fax:510-675-0846
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2016-08-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A5986207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F27736Medicare UPIN