Healthcare Provider Details

I. General information

NPI: 1629986682
Provider Name (Legal Business Name): EMMA V ZAMORA AMFT/APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

957 N GRAND AVE
COVINA CA
91724-2046
US

IV. Provider business mailing address

1404 N AZUSA AVE STE C-154
COVINA CA
91722-1200
US

V. Phone/Fax

Practice location:
  • Phone: 626-944-1722
  • Fax:
Mailing address:
  • Phone: 626-944-1722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number165203
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number23179
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: