Individual ProviderPatrick ZakkaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address8700 Beverly Blvd, West Hollywood, CA 90048-1804(310) 829-7678PECOS EnrollmentBased on the most recent information from CMS, provider Patrick Zakka is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1538690615Provider TypeIndividualFull NameZakka, PatrickTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date3/21/2017Last Updated1/27/2025Contact InformationPractice LocationPractice Address8700 Beverly Blvd, West Hollywood, CA 90048-1804Phone(310) 829-7678FaxUnlisted FaxMailing LocationMailing Address1364 Clifton Rd NE, Atlanta, GA 30322-1059PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207RC0000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA173239CaliforniaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense85128GeorgiaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer