Zaslow, Tracy Lynn

Zaslow, Tracy Lynn is an individual health care provider with primary practice located at 2020 Santa Monica Blvd Ste 400 , Santa Monica CA 90404-2139. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Zaslow, Tracy Lynn can be contacted via phone (310) 829-2663.

Contact Information

Primary practice address
2020 Santa Monica Blvd Ste 400 Santa Monica CA 90404-2139
Phone: (310) 829-2663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A80301 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A80301 California
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X A80301 California

Profile Details

NPI number 1194810697
LBN Legal business name Zaslow, Tracy Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Mar 4th, 2022 - about 3 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194810697 NPPES
California MEDICAID 00A803010

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