Healthcare Provider Details

I. General information

NPI: 1144130667
Provider Name (Legal Business Name): MRS. JUANA ZAVALA ZAVALA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11161 MERRITT ST
CASTROVILLE CA
95012-3415
US

IV. Provider business mailing address

13994 CASTROVILLE BLVD
CASTROVILLE CA
95012-9749
US

V. Phone/Fax

Practice location:
  • Phone: 831-633-2570
  • Fax:
Mailing address:
  • Phone: 831-633-3343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number39326
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: