Doctor Name: | DR. ELEONORE ZETRENNE |
NPI Number: | 1023140654 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | A83210 |
Business Practice Address: | 26732 Crown Valley Pkwy Suite 585 Mission Viejo, CA - 926916306 |
Business Phone Number: | 9493641010 |
Business Fax Number: | 9493642299 |
Mailing Address: | 196 Robinson Dr, TUSTIN |
State: | CA |
Postal Code: | 927821099 |
Phone Number: | 5166977584 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2007 |
NPI Last Update Date: | 11/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A83210 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |