Basic Information
| Provider Information | |||||||||
| NPI: | 1952703803 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALEN ZEHNALY, M.D., A MEDICAL CORPORATION | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 7001 | ||||||||
| Address2: | |||||||||
| City: | TARZANA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913577001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8188887815 | ||||||||
| FaxNumber: | 8187151722 | ||||||||
| Practice Location | |||||||||
| Address1: | 801 E CHEVY CHASE DR | ||||||||
| Address2: | |||||||||
| City: | GLENDALE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 912053017 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8182652275 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/23/2014 | ||||||||
| LastUpdateDate: | 02/24/2022 | ||||||||
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| AuthorizedOfficialLastName: | ZEHNALY | ||||||||
| AuthorizedOfficialFirstName: | ALEN | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT/ SOLE OWNER | ||||||||
| AuthorizedOfficialTelephone: | 6267555140 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
| NPICertificationDate: | 02/24/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | A106609 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.