Provider Demographics
NPI:1629482898
Name:ZINGARO, MARIAN (DC)
Entity Type:Individual
Prefix:DR
First Name:MARIAN
Middle Name:
Last Name:ZINGARO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 E TASMAN DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95134-1617
Mailing Address - Country:US
Mailing Address - Phone:408-944-6100
Mailing Address - Fax:408-944-9102
Practice Address - Street 1:423 E ST
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-4132
Practice Address - Country:US
Practice Address - Phone:530-220-3346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-16
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22501111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor