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 |
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