Healthcare Provider Details

I. General information

NPI: 1528223781
Provider Name (Legal Business Name): ARI S. ZELDIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2008
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34520 BOB WILSON DR STE 100
SAN DIEGO CA
92134-2100
US

IV. Provider business mailing address

34520 BOB WILSON DR STE 100
SAN DIEGO CA
92134-2100
US

V. Phone/Fax

Practice location:
  • Phone: 619-532-6896
  • Fax:
Mailing address:
  • Phone: 619-532-6896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0008X
TaxonomyPediatric Neurodevelopmental Disabilities Physician
License NumberA69152
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License NumberA69152
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: