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NPI Code Detail

MEDICARE: MR. ZACHARY M CAYABAN

MEDICARE: MR. ZACHARY M CAYABAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistAMFT161116CA

General Provider Information

NPI Number : 1407589872
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ZACHARY M CAYABAN
Provider Business Mailing Address
First Line : 4499 VIA MARISOL APT 113
Second Line :
City : LOS ANGELES
State : CA
Zip : 90042-5129
Country : US
Telephone Number : 760-707-9119
Fax Number :
Provider Business Practice Location Address
First Line : 4300 LONG BEACH BLVD STE 7EACH
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-2011
Country : US
Telephone Number : 562-595-8111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2022
Last Update Date : 04/13/2026

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Directions to “ MR. ZACHARY M CAYABAN ” Practice Location

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