Provider Demographics
NPI:1174641443
Name:ZORN & NAYLON A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:ZORN & NAYLON A PROFESSIONAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELINOR
Authorized Official - Middle Name:M
Authorized Official - Last Name:ZORN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-530-3073
Mailing Address - Street 1:PO BOX 29
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93232-0029
Mailing Address - Country:US
Mailing Address - Phone:559-530-3073
Mailing Address - Fax:559-530-3074
Practice Address - Street 1:1489 W LACEY BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-5957
Practice Address - Country:US
Practice Address - Phone:559-530-3073
Practice Address - Fax:559-530-3074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2011-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG49060208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty