Zagzoug has been at the helm of Andalusia Group for nearly 25 years. The group was established in 1984. Today, it works through 11 medical entities in Saudi Arabia and Egypt and in-house companies serving hospitals and centers in programming, digitalizing, and construction. In early 2023, Andalusia Group signed a partnership with Kidzania City in Jeddah, and another agreement with the Technical and Vocational Training Corporation. It also launched the 220-bed Andalusia New Hospital in Jeddah.