Basic Information
| Provider Information | |||||||||
| NPI: | 1629210729 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZURNAMER | ||||||||
| FirstName: | SHEREEN | ||||||||
| MiddleName: | T | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8631 W 3RD ST | ||||||||
| Address2: | SUITE 800E | ||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900485901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3104237900 | ||||||||
| FaxNumber: | 3104230810 | ||||||||
| Practice Location | |||||||||
| Address1: | 8631 W 3RD ST | ||||||||
| Address2: | SUITE 800E | ||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900485901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3104237900 | ||||||||
| FaxNumber: | 3104230810 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/03/2009 | ||||||||
| LastUpdateDate: | 04/03/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AS0400X | PA16375 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Surgical |
No ID Information.