Provider Demographics
NPI:1902782832
Name:VROBEL, ZACHARY SCOTT
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:SCOTT
Last Name:VROBEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2288 THOMAS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-5630
Mailing Address - Country:US
Mailing Address - Phone:951-438-6512
Mailing Address - Fax:
Practice Address - Street 1:2288 THOMAS AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109-5630
Practice Address - Country:US
Practice Address - Phone:951-438-6512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical