Provider Demographics
NPI:1598210361
Name:Z PLASTIC SURGERY INC
Entity Type:Organization
Organization Name:Z PLASTIC SURGERY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZELKEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-432-4730
Mailing Address - Street 1:361 HOSPITAL RD
Mailing Address - Street 2:SUITE 221
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-3522
Mailing Address - Country:US
Mailing Address - Phone:949-432-4730
Mailing Address - Fax:949-432-4720
Practice Address - Street 1:361 HOSPITAL RD
Practice Address - Street 2:SUITE 221
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3522
Practice Address - Country:US
Practice Address - Phone:949-432-4730
Practice Address - Fax:949-432-4720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-22
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA137501208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty