Provider Demographics
NPI:1447639372
Name:ZENOBI, CAROLINA ANA (MD)
Entity type:Individual
Prefix:
First Name:CAROLINA
Middle Name:ANA
Last Name:ZENOBI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CAROLINA
Other - Middle Name:ZENOBI
Other - Last Name:PIASEK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:745 N SPAULDING AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046-7421
Mailing Address - Country:US
Mailing Address - Phone:310-405-1118
Mailing Address - Fax:
Practice Address - Street 1:100 W CALIFORNIA BLVD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3010
Practice Address - Country:US
Practice Address - Phone:310-405-1118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-26
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA1539632080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program