Provider Demographics
NPI:1306165873
Name:ZARI, MARIA TERESA LIM (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA TERESA
Middle Name:LIM
Last Name:ZARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARIA TERESA
Other - Middle Name:LIM
Other - Last Name:ZARI-OSEA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4310 SANDY RIVER DR
Mailing Address - Street 2:UNIT 71
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103
Mailing Address - Country:US
Mailing Address - Phone:909-438-1953
Mailing Address - Fax:
Practice Address - Street 1:3075 CHAMPION ST.
Practice Address - Street 2:EH
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709
Practice Address - Country:US
Practice Address - Phone:909-438-1953
Practice Address - Fax:909-393-8055
Is Sole Proprietor?:No
Enumeration Date:2010-05-24
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAFE45242208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice