Provider Demographics
NPI:1720045826
Name:ZULIM, REBECCA ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ANN
Last Name:ZULIM
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:PO BOX 6296
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93290-6296
Mailing Address - Country:US
Mailing Address - Phone:559-713-1299
Mailing Address - Fax:559-713-1121
Practice Address - Street 1:306 N CONYER ST
Practice Address - Street 2:SUITE A
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-4704
Practice Address - Country:US
Practice Address - Phone:559-713-1299
Practice Address - Fax:559-713-1121
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-01
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG67009208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G670090Medicare ID - Type Unspecified
CAE94331Medicare UPIN