Zak, Vitaliy
Zak, Vitaliy is an individual health care provider with primary practice located at 44139 Monterey Ave Ste A , Palm Desert CA 92260-8700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Zak, Vitaliy can be contacted via phone (760) 469-5195.Contact Information
Primary practice address
44139 Monterey Ave Ste A
Palm Desert CA 92260-8700
Phone: (760) 469-5195
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00044090 | Washington |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | S6335 | Texas |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | C193067 | California |
Profile Details
| NPI number | 1669566535 |
|---|---|
| LBN Legal business name | Zak, Vitaliy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Apr 22nd, 2024 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669566535 | NPPES |
| Washington | MEDICAID | 8408023 | |
| Washington | MEDICAID | 1669566535 |
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