Healthcare Provider Details

I. General information

NPI: 1639667785
Provider Name (Legal Business Name): BARBARA ZAPATA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2018
Last Update Date: 04/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10005 COBBLESTONE AVE
BAKERSFIELD CA
93311-9396
US

IV. Provider business mailing address

10005 COBBLESTONE AVE
BAKERSFIELD CA
93311-9396
US

V. Phone/Fax

Practice location:
  • Phone: 661-858-0385
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: