Healthcare Provider Details

I. General information

NPI: 1326570540
Provider Name (Legal Business Name): ESTHER ZARECKI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 02/10/2022
Certification Date: 10/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 WILLARD
IRVINE CA
92604-4694
US

IV. Provider business mailing address

393 E WALNUT ST FL 3 PHR GROUP PROVIDER ENROLLMENT UNIT
PASADENA CA
91188-0001
US

V. Phone/Fax

Practice location:
  • Phone: 833-574-2273
  • Fax:
Mailing address:
  • Phone: 877-608-0044
  • Fax: 877-514-0903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA158046
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: