Provider Demographics
NPI:1750506648
Name:ZEFF, ARNOLD EUGENE (MD)
Entity Type:Individual
Prefix:
First Name:ARNOLD
Middle Name:EUGENE
Last Name:ZEFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1686 ARBOR WAY
Mailing Address - Street 2:
Mailing Address - City:HEALDSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:95448-7050
Mailing Address - Country:US
Mailing Address - Phone:707-431-8280
Mailing Address - Fax:
Practice Address - Street 1:1221 FARMERS LN STE A
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95405-6712
Practice Address - Country:US
Practice Address - Phone:805-469-7899
Practice Address - Fax:707-253-0457
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC280062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C280060Medicaid
CAB48009Medicare UPIN
CA00C280060Medicaid