Provider Demographics
NPI:1619045747
Name:ZARZANA, MICHELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:
Last Name:ZARZANA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ZARZANA
Other - Middle Name:
Other - Last Name:CHIROPRACTIC INC.
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:1777 N BELLFLOWER BLVD
Mailing Address - Street 2:STE. 109
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-4013
Mailing Address - Country:US
Mailing Address - Phone:562-498-4455
Mailing Address - Fax:562-498-4499
Practice Address - Street 1:1777 N BELLFLOWER BLVD
Practice Address - Street 2:STE. 109
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-4013
Practice Address - Country:US
Practice Address - Phone:562-498-4455
Practice Address - Fax:562-498-4499
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20 5281889111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU98681Medicare UPIN
CADC28448Medicare ID - Type UnspecifiedCHIROPACTIC