Provider Demographics
NPI:1669618393
Name:ZYNDA, TODD KENNETH (DO, FACC)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:KENNETH
Last Name:ZYNDA
Suffix:
Gender:M
Credentials:DO, FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4980
Mailing Address - Street 2:
Mailing Address - City:PALOS VERDES PENINSULA
Mailing Address - State:CA
Mailing Address - Zip Code:90274-9648
Mailing Address - Country:US
Mailing Address - Phone:562-432-0111
Mailing Address - Fax:562-276-0799
Practice Address - Street 1:1045 ATLANTIC AVE STE 611
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90813
Practice Address - Country:US
Practice Address - Phone:562-432-0111
Practice Address - Fax:562-276-0799
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-30
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A10401207R00000X, 207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA20A10401OtherCA MEDICAL LICENCE
CAFZ0781078OtherDEA