Provider Demographics
NPI:1538171400
Name:ZARO, CHRISTINA M (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:M
Last Name:ZARO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 CANAL ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:KING CITY
Mailing Address - State:CA
Mailing Address - Zip Code:93930-3458
Mailing Address - Country:US
Mailing Address - Phone:831-385-1280
Mailing Address - Fax:831-385-1285
Practice Address - Street 1:400 CANAL ST
Practice Address - Street 2:SUITE B
Practice Address - City:KING CITY
Practice Address - State:CA
Practice Address - Zip Code:93930-3458
Practice Address - Country:US
Practice Address - Phone:831-385-1280
Practice Address - Fax:831-385-1285
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA67733207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A677330OtherBLUE SHIELD PIN
CA00A677330Medicaid
CA00A677331Medicare PIN
CA00A677330Medicaid