Healthcare Provider Details

I. General information

NPI: 1982897468
Provider Name (Legal Business Name): RACHEL NICOLE ZABANEH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2007
Last Update Date: 08/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5025 E PACIFIC COAST HWY APT 109
LONG BEACH CA
90804-3256
US

IV. Provider business mailing address

5025 E PACIFIC COAST HWY APT 109
LONG BEACH CA
90804-3256
US

V. Phone/Fax

Practice location:
  • Phone: 714-742-0626
  • Fax:
Mailing address:
  • Phone: 714-742-0626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberA100337
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: