Provider Demographics
NPI:1811044712
Name:FURMAN, ZINAIDA (MD)
Entity type:Individual
Prefix:
First Name:ZINAIDA
Middle Name:
Last Name:FURMAN
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 1:3640 LOMITA BLVD
Mailing Address - Street 2:STE 209
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-3927
Mailing Address - Country:US
Mailing Address - Phone:310-373-4901
Mailing Address - Fax:310-373-1482
Practice Address - Street 1:3640 LOMITA BLVD
Practice Address - Street 2:STE 209
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-3927
Practice Address - Country:US
Practice Address - Phone:310-373-4901
Practice Address - Fax:310-373-1482
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA69711174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH48719Medicare UPIN