MEDICARE: MRS. JENNIFER A ZUBICK FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0000X	Pain Management Registered Nurse	535549	CA
2	207NS0135X	Procedural Dermatology Physician	535549	CA

General Provider Information

NPI Number	:	1114164670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER A ZUBICK FNP

Provider Business Mailing Address
First Line	:	9400 BRIGHTON WAY
Second Line	:	SUITE 208
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210
Country	:	US
Telephone Number	:	310-299-8494
Fax Number	:	310-295-2415

Provider Business Practice Location Address
First Line	:	9400 BRIGHTON WAY
Second Line	:	SUITE 208
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210
Country	:	US
Telephone Number	:	310-299-8494
Fax Number	:	310-295-2415

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2009
Last Update Date	:	03/17/2026

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