Healthcare Provider Details

I. General information

NPI: 1861655748
Provider Name (Legal Business Name): LORENA ZAMORA FLORES PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LORENA MORALES ZAMORA M.A.

II. Dates (important events)

Enumeration Date: 07/09/2008
Last Update Date: 01/11/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3454 HILLCREST AVE
ANTIOCH CA
94531-8238
US

IV. Provider business mailing address

3454 HILLCREST AVE
ANTIOCH CA
94531-8238
US

V. Phone/Fax

Practice location:
  • Phone: 925-777-6300
  • Fax:
Mailing address:
  • Phone: 925-777-6300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY27520
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: