Provider Demographics
NPI:1639216781
Name:ZAGER, ALBERT (MD)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:
Last Name:ZAGER
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 1:436 N BEDFORD DR
Mailing Address - Street 2:SUITE 214
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4310
Mailing Address - Country:US
Mailing Address - Phone:310-271-6171
Mailing Address - Fax:310-271-3793
Practice Address - Street 1:436 N BEDFORD DR
Practice Address - Street 2:SUITE 214
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4310
Practice Address - Country:US
Practice Address - Phone:310-271-6171
Practice Address - Fax:310-271-3793
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC18765207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C187651Medicaid
00C187650OtherBLUE SHIELD
C18765Medicare ID - Type Unspecified
00C187650OtherBLUE SHIELD