Basic Information
| Provider Information | |||||||||
| NPI: | 1316435142 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ZYROX MEDICAL ASSOCIATES ,INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14624 SHERMAN WAY STE 309 | ||||||||
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| City: | VAN NUYS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 914052288 | ||||||||
| CountryCode: | US | ||||||||
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| Address1: | 14624 SHERMAN WAY STE 309 | ||||||||
| Address2: | |||||||||
| City: | VAN NUYS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 914052288 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8188845480 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/26/2018 | ||||||||
| LastUpdateDate: | 04/30/2018 | ||||||||
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| AuthorizedOfficialLastName: | MOHAMMAD | ||||||||
| AuthorizedOfficialFirstName: | AKIKUR | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 8189224779 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.