Provider Demographics
NPI:1013233576
Name:ZAPPATERRA, MAURO WALSH (MD, PHD)
Entity Type:Individual
Prefix:
First Name:MAURO
Middle Name:WALSH
Last Name:ZAPPATERRA
Suffix:
Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:1035 S FAIR OAKS AVE STE 103
Mailing Address - Street 2:INSTITUTE FOR REGENERATIVE MEDICINE & CLINICAL RESEARCH
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-2699
Mailing Address - Country:US
Mailing Address - Phone:626-799-2562
Mailing Address - Fax:
Practice Address - Street 1:1035 S FAIR OAKS AVE STE 103
Practice Address - Street 2:INSTITUTE FOR REGENERATIVE MEDICINE & CLINICAL RESEARCH
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-2699
Practice Address - Country:US
Practice Address - Phone:626-799-2562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-08
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA118673208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation