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NPI Code Detail

MEDICARE: SANDRA A LOPEZ ZARATE

MEDICARE: SANDRA A LOPEZ ZARATE
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1578105276
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA A LOPEZ ZARATE
Provider Business Mailing Address
First Line : 1055 E COLORADO BLVD STE 560
Second Line :
City : PASADENA
State : CA
Zip : 91106-2380
Country : US
Telephone Number :
Fax Number : 818-241-6853
Provider Business Practice Location Address
First Line : 1350 OLD BAYSHORE HWY
Second Line :
City : BURLINGAME
State : CA
Zip : 94010-1823
Country : US
Telephone Number : 415-336-9705
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2019
Last Update Date : 10/14/2019

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Directions to “ SANDRA A LOPEZ ZARATE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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