Individual ProviderHiba Waleed ZakuDentistDental ProvidersPractice Address2990 Jamacha Rd Ste 140, El Cajon, CA 92019-4387(760) 650-5658PECOS EnrollmentBased on the most recent information from CMS, provider Hiba Waleed Zaku does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1770192015Provider TypeIndividualFull NameZaku, Hiba WaleedTitleDr.GenderFemaleSole ProprietorYesEnumeration Date7/23/2020Last Updated9/3/2020Contact InformationPractice LocationPractice Address2990 Jamacha Rd Ste 140, El Cajon, CA 92019-4387Phone(760) 650-5658FaxUnlisted FaxMailing LocationMailing Address1594 Nicholas Pl, El Cajon, CA 92019-3378Phone(760) 650-5658FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense105055California