Provider Demographics
NPI:1639777402
Name:ZOOK, JULIAN ARMSTRONG (RD)
Entity Type:Individual
Prefix:
First Name:JULIAN
Middle Name:ARMSTRONG
Last Name:ZOOK
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:723 32ND AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-3501
Mailing Address - Country:US
Mailing Address - Phone:714-399-8211
Mailing Address - Fax:
Practice Address - Street 1:723 32ND AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-3501
Practice Address - Country:US
Practice Address - Phone:714-399-8211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered