Active NPI
Eleonore Zetrenne MD Inc
- Plastic Surgery Physician
- Irvine, CA
National Provider Identifier
1831343987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- A83210
- Legal business name
- ELEONORE ZETRENNE MD INC
- Practice address
- 4716 Barranca Pkwy
Irvine, CA 92604-4729 - Phone
- (949) 218-4153
- NPI assigned
- Nov 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jenny Gillogly
- Title
- Billing Manager
- Phone
- (949) 645-3333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | A83210 | CA | Primary |
Addresses
Primary practice location
4716 Barranca Pkwy
Irvine, CA 92604-4729
Mailing address
4716 Barranca Pkwy
Irvine, CA 92604-4729
Phone (949) 218-4153
National Provider Directory
National Provider DirectoryLocations
26732 Crown Valley Pkwy
Ste 585
Mission Viejo, CA 92691
Phone (949) 645-3333
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Mission Viejo, CA
- NPI 1497885982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264636800000",
"number": "1831343987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4716 BARRANCA PKWY",
"city": "IRVINE",
"state": "CA",
"postal_code": "926044729",
"telephone_number": "949-218-4153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4716 BARRANCA PKWY",
"city": "IRVINE",
"state": "CA",
"postal_code": "926044729",
"telephone_number": "949-218-4153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEONORE ZETRENNE MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-14",
"last_updated": "2010-01-28",
"status": "A",
"authorized_official_last_name": "GILLOGLY",
"authorized_official_first_name": "JENNY",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "949-645-3333",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A83210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.