Provider Demographics
NPI:1447874268
Name:ZAIAT, MIHAI (RCP)
Entity type:Individual
Prefix:
First Name:MIHAI
Middle Name:
Last Name:ZAIAT
Suffix:
Gender:M
Credentials:RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9664 ANDORA AVE
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-2611
Mailing Address - Country:US
Mailing Address - Phone:818-987-7963
Mailing Address - Fax:
Practice Address - Street 1:9664 ANDORA AVE
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-2611
Practice Address - Country:US
Practice Address - Phone:818-987-7963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-08
Last Update Date:2022-11-14
Deactivation Date:2022-09-18
Deactivation Code:
Reactivation Date:2022-10-12
Provider Licenses
StateLicense IDTaxonomies
CA243422278P3900X
CA363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No2278P3900XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedNeonatal/Pediatrics