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Contact Information

TATIANA M ZEBALLOS, MD
1408 VIA ARCO
PALOS VERDES ESTATES, CA90274-2055
 Phone: 202-285-4550
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obesity Medicine

2080B0002X 37 Physician/Pediatric Medicine
 

Obesity Medicine

2083B0002X 84 Physician/Preventive Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for TATIANA M ZEBALLOS · (Female)

NPI Number 1053399162
Status Active
Credentials MD
Entity Individual
Enumeration date 01/09/2006
Last updated 07/16/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # C164447
  • FL License # ME127937
  • PA License # MD425510
  • FL Medicaid 019048000
  • CA Other C164447 MEDICAL LICENSE
  • DE Other C1-0011945 MEDICAL LICENSE
  • GA Other 78664 MEDICAL LICENSE
  • MD Other D0083136 MEDICAL LICENSE
  • NJ Other 25MA10057100 MEDICAL LICENSE
  • PA Other MD425510 LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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