Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | A129337 | CA |
NPI | 1265708655 |
---|---|
Provider Name | Aldene Zeno |
First Address | Los Angeles, CA 90031-0309 |
Second Address | Los Angeles, CA 90089-0121 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2012 |
Last Update Date | 07/09/2020 |