Provider Demographics
NPI:1811214752
Name:SPRINGER, JOSEPH ZEDDOCK (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ZEDDOCK
Last Name:SPRINGER
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 1:13651 WILLARD ST
Mailing Address - Street 2:
Mailing Address - City:PANORAMA
Mailing Address - State:CA
Mailing Address - Zip Code:91402
Mailing Address - Country:US
Mailing Address - Phone:818-815-5541
Mailing Address - Fax:
Practice Address - Street 1:2402 S SHENANDOAH ST APT 4
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-2046
Practice Address - Country:US
Practice Address - Phone:310-903-3062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-03
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program