Provider Demographics
NPI:1699345421
Name:WARRIACH, ZAIN IKRAM (MBBS)
Entity type:Individual
Prefix:DR
First Name:ZAIN
Middle Name:IKRAM
Last Name:WARRIACH
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10821 PARKLAND ST
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-2107
Mailing Address - Country:US
Mailing Address - Phone:929-235-2212
Mailing Address - Fax:
Practice Address - Street 1:22675 ALESSANDRO BLVD STE 1
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553-8551
Practice Address - Country:US
Practice Address - Phone:951-571-2350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-24
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA196854207Q00000X
WAMD61560027207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine