Provider Demographics
NPI:1073191631
Name:ZACHARY, CAMERON MACLEAN BRANSBY (MD)
Entity Type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:MACLEAN BRANSBY
Last Name:ZACHARY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 MEDICAL SURGE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92697-2400
Mailing Address - Country:US
Mailing Address - Phone:949-824-5515
Mailing Address - Fax:949-824-7454
Practice Address - Street 1:118 MEDICAL SURGE
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92697-2400
Practice Address - Country:US
Practice Address - Phone:949-824-5515
Practice Address - Fax:949-824-7454
Is Sole Proprietor?:No
Enumeration Date:2021-04-01
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program