Lacey Kay Zack (NPI# 1124315916, PAC ID# 7810201100) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1124315916 |
| PAC ID by PECOS | 7810201100 |
| Professional Enrollment ID | I20150730012323 |
| Full Name | Lacey Kay Zack |
| Organization Legal Name | JAH HAND SURGERY |
| Address |
12099 W Washington Blvd Suite 300 Los Angeles CA 90066-2621 |
| Phone Number | 2139358566 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Secondary Specialties | SPORTS MEDICINE |
| Group Practice PAC ID | 0648597815 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050471 | GOOD SAMARITAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12099 W Washington Blvd, Suite 300, Los Angeles, CA 90066-2621 | 2139358566 | JAH HAND SURGERY |
| Organization Legal Name | JAH HAND SURGERY |
| Physicians | 1 |
| Street Address |
12099 W WASHINGTON BLVD SUITE 300 |
| City | LOS ANGELES |
| State | CA |
| Zip | 90066-2621 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer A Hertz | Hand Surgery | 12099 W Washington Blvd, Suite 300, Los Angeles, CA 90066-2621 | |
| Robert Bernard Weber | General Practice | 12099 W Washington Blvd, Suite 300, Los Angeles, CA 90066-2621 | |
| Jose L Villagomez | Emergency Medicine | 12099 W Washington Blvd, Suite 400, Los Angeles, CA 90066-2620 | |
| Paul M Dawson | Physical Therapy | Prodynamics Inc | 12099 W Washington Blvd, Suite 408, Los Angeles, CA 90066-2620 |
| Ricky S Onofre-vasquez | Internal Medicine | 12099 W Washington Blvd, Suite 202, Los Angeles, CA 90066-5882 | |
| Brandon U Edenedo | Physical Therapy | Prodynamics Inc | 12099 W Washington Blvd, Suite 408, Los Angeles, CA 90066-2620 |
| Steven Ivan Popkow | Family Practice | 12099 W Washington Blvd, Suite 400, Los Angeles, CA 90066-2620 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sylvia G Jones | Clinical Social Worker | 3301 Colby Ave, Los Angeles, CA 90066-1325 | |
| Brian Huth | Chiropractic | Health Atlast West La | 3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 |
| Wayne Higashi | Chiropractic | Health Atlast West La | 3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 |
| Vishal Thakral | Physical Medicine and Rehabilitation | Health Atlast West La | 3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 |
| Stephanie Christine Higashi | Chiropractic | Health Atlast West La | 3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 |
| Richard Ochs | General Practice | Health Atlast West La | 3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 |
| Mohamed Hassanin | Chiropractic | Health Atlast West La | 3030 Sawtelle Blvd, Los Angeles, CA 90066-1408 |
| Martha J Joachim | Psychologist, Clinical | 12549 Woodbine St, Los Angeles, CA 90066-1830 | |
| Jane Meryl Emmer | Psychologist, Clinical | 3413 Craigview Ave, Los Angeles, CA 90066-2110 | |
| Susan F Horn | Clinical Social Worker | 3492 Ashwood Ave, Los Angeles, CA 90066-2202 | |
| Find all physicians in zip 90066 | |||
| City | LOS ANGELES |
| Zip Code | 90066 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | LOS ANGELES + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Lacey Kay Zack.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.