MEDICARE: ZAINAB QURESHI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant
2	363A00000X	Physician Assistant	62370	CA

General Provider Information

NPI Number	:	1235884925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZAINAB QURESHI

Provider Business Mailing Address
First Line	:	4152 SHOREBREAK DR
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92649-2183
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4152 SHOREBREAK DR
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92649-2183
Country	:	US
Telephone Number	:	714-907-7461
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2022
Last Update Date	:	06/26/2023

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