Provider Demographics
NPI:1609418482
Name:ZAMPELL MICROSURGICAL ASSOCIATES
Entity Type:Organization
Organization Name:ZAMPELL MICROSURGICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMPELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-599-8702
Mailing Address - Street 1:416 N BEDFORD DR STE 206
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4317
Mailing Address - Country:US
Mailing Address - Phone:310-620-8750
Mailing Address - Fax:310-620-8751
Practice Address - Street 1:416 N BEDFORD DR STE 206
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4317
Practice Address - Country:US
Practice Address - Phone:310-620-8750
Practice Address - Fax:310-620-8751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-12
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty