Zeballos, Tatiana M.
Zeballos, Tatiana M. is an individual health care provider with primary practice located at 1408 Via Arco , Palos Verdes Estates CA 90274-2055. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Obesity Medicine. Allopathic & Osteopathic Physicians / Obesity Medicine is her primary health care specialty. Zeballos, Tatiana M. can be contacted via phone (202) 285-4550.Contact Information
Primary practice address
1408 Via Arco
Palos Verdes Estates CA 90274-2055
Phone: (202) 285-4550
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD425510 | Pennsylvania |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME127937 | Florida |
Allopathic & Osteopathic Physicians / Obesity Medicine | 2083B0002X | C164447 | California |
Allopathic & Osteopathic Physicians / Obesity Medicine | 2080B0002X | C164447 | California |
Profile Details
NPI number | 1053399162 |
---|---|
LBN Legal business name | Zeballos, Tatiana M. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 9th, 2006 |
Last updated | Jul 16th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053399162 | NPPES |
California | Other | C164447 | MEDICAL LICENSE |
California | Other | D0083136 | MEDICAL LICENSE |
California | Other | 25MA10057100 | MEDICAL LICENSE |
California | MEDICAID | 019048000 | MEDICAL LICENSE |
California | Other | 78664 | MEDICAL LICENSE |
California | Other | C1-0011945 | MEDICAL LICENSE |
California | Other | MD425510 | MEDICAL LICENSE |
Popular Providers
-
Rosenberg, Robert E
280 N Central Ave Suite 303, Hartsdale NY 10530-1832 -
Thompson, Darcy Ann
13123 E 16Th Ave , Aurora CO 80045-7106 -
Kochanik, Lisa
2529 W Glenbrook Ln , Mequon WI 53092-3148 -
Fals, Angela M
1801 Lee Rd Ste 307 , Winter Park FL 32789-2101 -
Williams, Jessica L
282 Washington St , Hartford CT 06106 -
Henning, Michelle
1735 City Center Blvd , Elizabeth City NC 27909-8960 -
Devolld, Kimberly M
2754 Maybank Hwy Ste B , Johns Island SC 29455-4809 -
Shayevitz, Jay R
300 Garden City Plz Ste 330 , Garden City NY 11530-3331