Provider Demographics
NPI:1821027541
Name:FILIBERTO ZADINI, M.D.,INC
Entity Type:Organization
Organization Name:FILIBERTO ZADINI, M.D.,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:FILIBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:ZADINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-206-2655
Mailing Address - Street 1:5352 LAUREL CANYON BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91607-4921
Mailing Address - Country:US
Mailing Address - Phone:818-206-2655
Mailing Address - Fax:818-357-5541
Practice Address - Street 1:5352 LAUREL CANYON BLVD STE 110
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91607-4921
Practice Address - Country:US
Practice Address - Phone:818-206-2655
Practice Address - Fax:818-357-5541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2009-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA38818207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW19670Medicare ID - Type UnspecifiedMEDICARE IDENTIFICATION N