Healthcare Provider Details

I. General information

NPI: 1265708655
Provider Name (Legal Business Name): ALDENE ZENO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2012
Last Update Date: 01/05/2024
Certification Date: 01/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1560 E CHEVY CHASE DR STE 450
GLENDALE CA
91206-4140
US

IV. Provider business mailing address

622 W DUARTE RD STE 305
ARCADIA CA
91007-9281
US

V. Phone/Fax

Practice location:
  • Phone: 818-660-2200
  • Fax: 747-240-6806
Mailing address:
  • Phone: 626-358-1970
  • Fax: 626-357-4725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberA129337
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: