Provider Demographics
NPI:1770815862
Name:RICHARD A ZELNER M D INC
Entity Type:Organization
Organization Name:RICHARD A ZELNER M D INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZELNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-861-9620
Mailing Address - Street 1:18111 BROOKHURST
Mailing Address - Street 2:SUITE 6700
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-6728
Mailing Address - Country:US
Mailing Address - Phone:714-861-4620
Mailing Address - Fax:714-861-4621
Practice Address - Street 1:18111 BROOKHURST
Practice Address - Street 2:SUITE 6700
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-6728
Practice Address - Country:US
Practice Address - Phone:714-861-4620
Practice Address - Fax:714-861-4621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-01
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty