Provider Demographics
NPI:1588168637
Name:ZINN, ABIGAIL BEATRICE (DO)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:BEATRICE
Last Name:ZINN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 OAK PARK BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:PISMO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93449-3400
Mailing Address - Country:US
Mailing Address - Phone:805-546-0411
Mailing Address - Fax:054-734-8918
Practice Address - Street 1:921 OAK PARK BLVD STE 201A
Practice Address - Street 2:
Practice Address - City:PISMO BEACH
Practice Address - State:CA
Practice Address - Zip Code:93449-3400
Practice Address - Country:US
Practice Address - Phone:805-834-8975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-22
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A20962208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery