MEDICARE: DR. RACHEL NICOLE ZABANEH 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	2080N0001X	Neonatal-Perinatal Medicine Physician	A100337	CA

General Provider Information

NPI Number	:	1982897468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RACHEL NICOLE ZABANEH M.D.

Provider Business Mailing Address
First Line	:	5025 E PACIFIC COAST HWY APT 109
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90804-3256
Country	:	US
Telephone Number	:	714-742-0626
Fax Number	:

Provider Business Practice Location Address
First Line	:	5025 E PACIFIC COAST HWY APT 109
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90804-3256
Country	:	US
Telephone Number	:	714-742-0626
Fax Number	:

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

Provider Enumeration Date	:	08/20/2007
Last Update Date	:	08/25/2007

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