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NPI Code Detail

MEDICARE: MISS DIANA ZAKHOUR

MEDICARE: MISS DIANA ZAKHOUR
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
11041C0700XClinical Social WorkerD1057725CA

General Provider Information

NPI Number : 1528714797
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS DIANA ZAKHOUR
Provider Business Mailing Address
First Line : 5901 ENCINA RD STE A
Second Line :
City : GOLETA
State : CA
Zip : 93117-2270
Country : US
Telephone Number : 805-681-0035
Fax Number :
Provider Business Practice Location Address
First Line : 5901 ENCINA RD STE A
Second Line :
City : GOLETA
State : CA
Zip : 93117-2270
Country : US
Telephone Number : 805-681-0035
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2022
Last Update Date : 02/26/2022

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Directions to “ MISS DIANA ZAKHOUR ” Practice Location

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