Provider Demographics
NPI:1710498266
Name:ZENMED, INC.
Entity Type:Organization
Organization Name:ZENMED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALIYA
Authorized Official - Middle Name:NAZERALI
Authorized Official - Last Name:SCHULZE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:760-580-0650
Mailing Address - Street 1:5451 LAURETTA ST APT 2
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-2456
Mailing Address - Country:US
Mailing Address - Phone:760-580-0650
Mailing Address - Fax:
Practice Address - Street 1:5451 LAURETTA ST APT 2
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-2456
Practice Address - Country:US
Practice Address - Phone:760-580-0650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-23
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17146171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty