MEDICARE: DR. NICOLE ZELIN 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	2084P0800X	Psychiatry Physician	A191083	CA

General Provider Information

NPI Number	:	1770086555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICOLE ZELIN MD

Provider Business Mailing Address
First Line	:	3021 SW 27TH LN UNIT 1
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-3501
Country	:	US
Telephone Number	:	925-323-8765
Fax Number	:

Provider Business Practice Location Address
First Line	:	1942 UNIVERSITY AVE STE 306
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94704-1244
Country	:	US
Telephone Number	:	415-237-0377
Fax Number	:

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

Provider Enumeration Date	:	03/17/2018
Last Update Date	:	12/16/2025

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