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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 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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