Provider Demographics
NPI:1649455478
Name:ZEINAL, MAJID (DC)
Entity type:Individual
Prefix:DR
First Name:MAJID
Middle Name:
Last Name:ZEINAL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1540 GRAVENSTEIN HWY. SOUTH
Mailing Address - Street 2:
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95472-4217
Mailing Address - Country:US
Mailing Address - Phone:707-829-9009
Mailing Address - Fax:707-823-8362
Practice Address - Street 1:1540 GRAVENSTEIN HWY. SOUTH
Practice Address - Street 2:
Practice Address - City:SEBASTOPOL
Practice Address - State:CA
Practice Address - Zip Code:95472-4217
Practice Address - Country:US
Practice Address - Phone:707-829-9009
Practice Address - Fax:707-823-8362
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-28
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30735111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor