Individual provider · Type 1 NPI
Susan Klimist-Zingo, PA-C
Medical Physician Assistant · Ukiah, CA
NPI number
1164500690
Active
Practice location
260 Hospital Dr, Suite 209
Ukiah, CA 95482-4568
Fax (707) 462-1111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 5601001625 (MI) |
| Medical Physician Assistant Primary | 363AM0700X | PA51368 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1164500690
Susan Klimist-Zingo, PA-C's National Provider Identifier is 1164500690, issued on Nov 1, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Ukiah, CA. The record was last updated on Jul 24, 2014.