MEDICARE: DR. ANGELICA JEWEL ZAMBRANO MD

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	207N00000X	Dermatology Physician	47060	OK

General Provider Information

NPI Number	:	1366244659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELICA JEWEL ZAMBRANO MD

Provider Business Mailing Address
First Line	:	1000 NE 13TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-5040
Country	:	US
Telephone Number	:	405-271-6110
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 NE 13TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-5040
Country	:	US
Telephone Number	:	572-244-0064
Fax Number	:

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

Provider Enumeration Date	:	03/26/2025
Last Update Date	:	05/05/2026

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