Provider Demographics
NPI:1679689822
Name:ZALEZ, JAMES P (MD)
Entity Type:Individual
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First Name:JAMES
Middle Name:P
Last Name:ZALEZ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6029 BRISTOL PKWY
Mailing Address - Street 2:100
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-6643
Mailing Address - Country:US
Mailing Address - Phone:310-417-5900
Mailing Address - Fax:310-410-1001
Practice Address - Street 1:2001 SANTA MONICA BLVD
Practice Address - Street 2:SUITE 860
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2102
Practice Address - Country:US
Practice Address - Phone:310-828-3209
Practice Address - Fax:310-828-5165
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2021-12-01
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Provider Licenses
StateLicense IDTaxonomies
CAG65652208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG65652COtherMEDICARE LOCATION PTAN
CAW21068OtherMEDICARE LOCATION PTAN
CAWG65652COtherMEDICARE LOCATION PTAN