Individual
ILEANA E ZAPATERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
910 VIA DE LA PAZ, SUITE 205, PACIFIC PALISADES, CA 90272-3545
(310) 454-5555
(310) 454-0492
Mailing address
910 VIA DE LA PAZ, SUITE 205, PACIFIC PALISADES, CA 90272-3545
(310) 454-5555
(310) 454-0492
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G58746
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G587460
BLUE SHIELD
CA
Enumeration date
11/08/2006
Last updated
07/08/2007
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