MEDICARE: DR. MELANIE ZABOW M.D

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	207R00000X	Internal Medicine Physician	A96544	CA

General Provider Information

NPI Number	:	1801915954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELANIE ZABOW M.D

Provider Business Mailing Address
First Line	:	24502 PACIFIC PARK DR
Second Line	:
City	:	ALISO VIEJO
State	:	CA
Zip	:	92656-3033
Country	:	US
Telephone Number	:	949-425-3248
Fax Number	:

Provider Business Practice Location Address
First Line	:	24502 PACIFIC PARK DR
Second Line	:
City	:	ALISO VIEJO
State	:	CA
Zip	:	92656-3033
Country	:	US
Telephone Number	:	949-425-3248
Fax Number	:

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

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	12/06/2021

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