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:
Health care specialties
Specialty | Code | License # | 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 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194810697 | NPPES |
California | MEDICAID | 00A803010 |
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