Healthcare Provider Details

I. General information

NPI: 1295825073
Provider Name (Legal Business Name): BETTINA ZATUCHNI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5565 W LAS POSITAS BLVD STE 200
PLEASANTON CA
94588
US

IV. Provider business mailing address

5565 W LAS POSITAS BLVD STE 200
PLEASANTON CA
94588
US

V. Phone/Fax

Practice location:
  • Phone: 925-251-1010
  • Fax: 925-251-1017
Mailing address:
  • Phone: 925-251-1010
  • Fax: 925-251-1017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberG86542
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: