Basic Information
Provider Information
NPI: 1275621872
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MEZBAN
FirstName: ZAINAB
MiddleName: D
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1450 TREAT BLVD
Address2: STE 300
City: WALNUT CREEK
State: CA
PostalCode: 945972168
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1220 ROSSMOOR PARKWAY
Address2:  
City: WALNUT CREEK
State: CA
PostalCode: 945952501
CountryCode: US
TelephoneNumber: 9259473312
FaxNumber: 9259473396
Other Information
ProviderEnumerationDate: 10/10/2006
LastUpdateDate: 11/21/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA94338CAY Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000XA94338CAN Allopathic & Osteopathic PhysiciansHospitalist 

ID Information
IDTypeStateIssuerDescription
A9433801CAMEDICAL LICENSEOTHER


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