Zelenko, Marina A.

Zelenko, Marina A. is an individual health care provider with primary practice located at 19000 Homestead Rd , Cupertino CA 95014-0712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Zelenko, Marina A. can be contacted via phone (408) 366-4450.

Contact Information

Primary practice address
19000 Homestead Rd Cupertino CA 95014-0712
Phone: (408) 366-4450
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X A53605 California

Profile Details

NPI number 1912084864
LBN Legal business name Zelenko, Marina A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Dec 6th, 2021 - about 3 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912084864 NPPES
California MEDICAID 00A536050

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