Provider Demographics
NPI:1841628963
Name:KATHY ZUTZ & ASSOC, INC.
Entity type:Organization
Organization Name:KATHY ZUTZ & ASSOC, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-842-2414
Mailing Address - Street 1:8582 WARNER AVE
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-3131
Mailing Address - Country:US
Mailing Address - Phone:714-824-2414
Mailing Address - Fax:
Practice Address - Street 1:8582 WARNER AVE
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-3131
Practice Address - Country:US
Practice Address - Phone:714-824-2414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA015382332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies