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Alan Zaentz
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NPI Number Detailed Information
Provider Information:
| Name: | Alan Zaentz |
| Gender: | M |
| Provider License Number If Given: | A92775 |
NPI Information:
| NPI: | 1396730875 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 9/12/2005 |
| Last Update Date: | 7/25/2007 |
Provider Business Mailing Address:
| Address: | 3530 WILSHIRE BLVD SUITE 350 Los Angeles, CA 90010 |
| Phone Number: | 2136373703 |
| Fax Number: | 2136390797 |
Provider Business Practice Location Address:
| Address: | 8700 BEVERLY BLVD SUITE 8211 West Hollywood, CA 90048 |
| Phone Number: | 2136373703 |
| Fax Number: | 2136390797 |
Provider Taxonomy:
| Primary: | 207L00000X |
| Secondary (if any): | |
| State: | CA |
