Provider Demographics
NPI:1841263316
Name:ZIN SURGICAL ASSOCIATES INC
Entity type:Organization
Organization Name:ZIN SURGICAL ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHLEEN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LIGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:209-367-1878
Mailing Address - Street 1:845 S FAIRMONT AVE
Mailing Address - Street 2:#2
Mailing Address - City:LODI
Mailing Address - State:CA
Mailing Address - Zip Code:95240-5113
Mailing Address - Country:US
Mailing Address - Phone:209-367-1878
Mailing Address - Fax:209-367-1896
Practice Address - Street 1:845 S FAIRMONT AVE
Practice Address - Street 2:#2
Practice Address - City:LODI
Practice Address - State:CA
Practice Address - Zip Code:95240-5113
Practice Address - Country:US
Practice Address - Phone:209-367-1878
Practice Address - Fax:209-367-1896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-07
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA76320174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0102080Medicaid
CAGR0102080Medicaid
CAZZZ02338ZMedicare PIN