The healthcare services management group, the Andalusia Health Group, was established in 1984. Zagzoug has been in his role since 2004. In 2023, the group established Andalusia Hospital Jeddah and launched the Andalusia Maadi Clinic in Cairo and a Satellite Clinic in Zambia. It also launched the Andalusia Rushdi Clinics in Alexandria in January 2024 and other clinics in Kenya, Uganda, and Tanzania in July 2024. Zagzoug was previously president of the Private Hospitals Committee in the Jeddah Chamber of Commerce and vice president of the National Committee for the Hospitals in the Council of Saudi Chambers in Riyadh.