Organization Active NPI

Eleonore Zetrenne MD Inc

  • Plastic Surgery Physician
  • Irvine, CA
National Provider Identifier
1831343987
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A83210 Issued in CA
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

Updated by the provider on Jan 28, 2010

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)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.