Healthcare Provider Details

I. General information

NPI: 1003990474
Provider Name (Legal Business Name): BARBARA TEDESCO ZEPEDA WHCNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39400 PASEO PADRE PKWY EMBARCADERO OB/GYN
FREMONT CA
94538-2310
US

IV. Provider business mailing address

39400 PASEO PADRE PKWY
FREMONT CA
94538-2310
US

V. Phone/Fax

Practice location:
  • Phone: 510-248-3591
  • Fax: 510-248-3466
Mailing address:
  • Phone: 510-248-3591
  • Fax: 510-248-3466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number344298
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: