Provider Demographics
NPI:1770225021
Name:ZEBARJADI INC.
Entity type:Organization
Organization Name:ZEBARJADI INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:OMID
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEBARJADI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:415-827-1483
Mailing Address - Street 1:27819 SAGEBRUSH RD
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92585-4002
Mailing Address - Country:US
Mailing Address - Phone:415-827-1483
Mailing Address - Fax:
Practice Address - Street 1:27699 JEFFERSON AVE STE 305
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-2615
Practice Address - Country:US
Practice Address - Phone:951-503-8730
Practice Address - Fax:714-410-0369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-08
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care