Provider Demographics
NPI:1598214314
Name:TODD K. ZYNDA, DO INC.
Entity Type:Organization
Organization Name:TODD K. ZYNDA, DO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:K
Authorized Official - Last Name:ZYNDA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:562-432-0111
Mailing Address - Street 1:PO BOX 4980
Mailing Address - Street 2:
Mailing Address - City:PALOS VERDES PENINSULA
Mailing Address - State:CA
Mailing Address - Zip Code:90274-9648
Mailing Address - Country:US
Mailing Address - Phone:562-432-0111
Mailing Address - Fax:562-276-0799
Practice Address - Street 1:1045 ATLANTIC AVE STE 611
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90813-3414
Practice Address - Country:US
Practice Address - Phone:562-432-0111
Practice Address - Fax:562-276-0799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-22
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A10401207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty