1508166307 NPI number — CHRISTOPHER ZITO, M.D., FCCP, INC

Table of content: (NPI 1508166307)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508166307 NPI number — CHRISTOPHER ZITO, M.D., FCCP, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHRISTOPHER ZITO, M.D., FCCP, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508166307
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/26/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14860 ROSCOE BLVD
Provider Second Line Business Mailing Address:
SUITE 303
Provider Business Mailing Address City Name:
PANORAMA CITY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91402-4665
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-376-4074
Provider Business Mailing Address Fax Number:
818-376-4082

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14860 ROSCOE BLVD
Provider Second Line Business Practice Location Address:
SUITE 303
Provider Business Practice Location Address City Name:
PANORAMA CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91402-4665
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-376-4074
Provider Business Practice Location Address Fax Number:
818-376-4082
Provider Enumeration Date:
10/26/2010

Additional Information

Authorized Official

Authorized Official Last Name:
ZITO
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
D
Authorized Official Title or Position:
MEDICAL DOCTOR
Authorized Official Telephone Number:
818-376-4074

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  G41142 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00G411420 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com