Provider Demographics
NPI:1629096664
Name:ZARKA, AMER (MD)
Entity Type:Individual
Prefix:DR
First Name:AMER
Middle Name:
Last Name:ZARKA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2621 S BRISTOL ST
Mailing Address - Street 2:#108
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-5718
Mailing Address - Country:US
Mailing Address - Phone:714-754-1684
Mailing Address - Fax:714-966-0417
Practice Address - Street 1:2621 S BRISTOL ST
Practice Address - Street 2:#108
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-5718
Practice Address - Country:US
Practice Address - Phone:714-754-1684
Practice Address - Fax:714-966-0417
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA52935174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA52935OtherSTATE MEDICAL LICENSE
CA00A529350OtherMEDICAL ID
CA00A529350OtherMEDICAL ID
CAH68628Medicare UPIN