Provider Demographics
NPI:1679769954
Name:GABRIEL, ZENOVIA HATZIRIS (MD)
Entity Type:Individual
Prefix:DR
First Name:ZENOVIA
Middle Name:HATZIRIS
Last Name:GABRIEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:359 SAN MIGUEL DR STE 300
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-7809
Mailing Address - Country:US
Mailing Address - Phone:949-200-8222
Mailing Address - Fax:
Practice Address - Street 1:359 SAN MIGUEL DR STE 300
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7809
Practice Address - Country:US
Practice Address - Phone:949-200-8222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-19
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA89799207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology