Basic Information
| Provider Information | |||||||||
| NPI: | 1740504588 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZLOTNICK | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | NEIL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 630 ENCINAL CT | ||||||||
| Address2: | |||||||||
| City: | WALNUT CREEK | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945973166 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 1529026364 | ||||||||
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| Practice Location | |||||||||
| Address1: | 399 TAYLOR BLVD STE 200 | ||||||||
| Address2: | |||||||||
| City: | PLEASANT HILL | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945232287 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9252703575 | ||||||||
| FaxNumber: | 9252703589 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/23/2010 | ||||||||
| LastUpdateDate: | 11/01/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/01/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZD0900X | A143558 | CA | N | Allopathic & Osteopathic Physicians | Pathology | Dermatopathology | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207ZP0102X | A143558 | CA | Y | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology |
No ID Information.