MEDICARE: DR. ARI S. ZELDIN M.D.

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	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	A69152	CA
2	2080P0008X	Pediatric Neurodevelopmental Disabilities Physician	A69152	CA

General Provider Information

NPI Number	:	1528223781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARI S. ZELDIN M.D.

Provider Business Mailing Address
First Line	:	34520 BOB WILSON DR STE 100
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92134-2100
Country	:	US
Telephone Number	:	619-532-6896
Fax Number	:

Provider Business Practice Location Address
First Line	:	34520 BOB WILSON DR STE 100
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92134-2100
Country	:	US
Telephone Number	:	619-532-6896
Fax Number	:

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

Provider Enumeration Date	:	07/26/2008
Last Update Date	:	10/27/2025

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