MEDICARE: ZEENATH MASOOD MD INC - FAMILY PRACTICE

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1982272217
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZEENATH MASOOD MD INC - FAMILY PRACTICE

Provider Business Mailing Address
First Line	:	3400 W BALL RD STE 205
Second Line	:	3400 W BALL RD STE 205
City	:	ANAHEIM
State	:	CA
Zip	:	92804-3737
Country	:	US
Telephone Number	:	843-345-0038
Fax Number	:	714-828-6267

Provider Business Practice Location Address
First Line	:	3400 W BALL RD STE 205
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804-3737
Country	:	US
Telephone Number	:	714-828-2554
Fax Number	:	714-828-6267

Authorized Official
Title or Position	:	OWNER
Name	:	ZEENATH MASOOD
Credential	:	MD
Telephone Number	:	843-345-0038

Provider Enumeration Date	:	06/14/2021
Last Update Date	:	02/12/2026

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