Provider Demographics
NPI:1649206921
Name:ZDARZYL, MARGARET W (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:W
Last Name:ZDARZYL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1818 VERDUGO BLVD STE 407
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-1446
Mailing Address - Country:US
Mailing Address - Phone:818-952-7251
Mailing Address - Fax:818-952-7256
Practice Address - Street 1:1818 VERDUGO BLVD STE 407
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208-1446
Practice Address - Country:US
Practice Address - Phone:818-952-7251
Practice Address - Fax:818-952-7256
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00A445162080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine