Provider Demographics
NPI:1366568511
Name:ERIKSSON ZUKERMAN, PIA C (CRNA)
Entity type:Individual
Prefix:
First Name:PIA
Middle Name:C
Last Name:ERIKSSON ZUKERMAN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1201 N CATALINA AVE UNIT 3308
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-8268
Mailing Address - Country:US
Mailing Address - Phone:310-947-9099
Mailing Address - Fax:
Practice Address - Street 1:1201 N CATALINA AVE UNIT 3308
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-8268
Practice Address - Country:US
Practice Address - Phone:310-947-9099
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANA2167367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered