Provider Demographics
NPI:1871829770
Name:ZAKEN, ELI
Entity Type:Individual
Prefix:MR
First Name:ELI
Middle Name:
Last Name:ZAKEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6700 FALLBROOK AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-3530
Mailing Address - Country:US
Mailing Address - Phone:818-347-5400
Mailing Address - Fax:818-702-9501
Practice Address - Street 1:6700 FALLBROOK AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-3530
Practice Address - Country:US
Practice Address - Phone:818-347-5400
Practice Address - Fax:818-702-9501
Is Sole Proprietor?:No
Enumeration Date:2009-10-27
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide