Provider Demographics
NPI:1922208172
Name:ZVONKINA, VICTORIA YAKOVLEVNA (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:YAKOVLEVNA
Last Name:ZVONKINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1375 SUTTER ST STE 216
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-5465
Mailing Address - Country:US
Mailing Address - Phone:866-887-6673
Mailing Address - Fax:866-442-7632
Practice Address - Street 1:1375 SUTTER ST STE 216
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-5465
Practice Address - Country:US
Practice Address - Phone:866-887-6673
Practice Address - Fax:866-442-7632
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-24
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA95195174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist