Basic Information
Provider Information | |||||||||
NPI: | 1457751968 | ||||||||
EntityType: | 2 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: | LINDSAY ZAMIS MD A PROFESSIONAL CORPORATION | ||||||||
LastName: |   | ||||||||
FirstName: |   | ||||||||
MiddleName: |   | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: |   | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 8504 FIRESTONE BLVD | ||||||||
Address2: | 299 | ||||||||
City: | DOWNEY | ||||||||
State: | CA | ||||||||
PostalCode: | 902414926 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 5629045301 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | 11500 BROOKSHIRE AVE | ||||||||
Address2: |   | ||||||||
City: | DOWNEY | ||||||||
State: | CA | ||||||||
PostalCode: | 902414917 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 5629045301 | ||||||||
FaxNumber: | 5629045310 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 09/03/2014 | ||||||||
LastUpdateDate: | 08/11/2016 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: |   | ||||||||
AuthorizedOfficialLastName: | ZAMIS DELLAMAGGIORA | ||||||||
AuthorizedOfficialFirstName: | LINDSAY | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
AuthorizedOfficialTelephone: | 5629045301 | ||||||||
IsSoleProprietor: |   | ||||||||
IsOrganizationSubpart: | N | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: | DR. | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: | M.D. | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZP0102X | A108212 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology |
No ID Information.