Healthcare Provider Details

I. General information

NPI: 1851606024
Provider Name (Legal Business Name): SUMMER B ZAPATA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2010
Last Update Date: 06/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9808 VENICE BLVD SUITE 700
CULVER CITY CA
90232-2732
US

IV. Provider business mailing address

9808 VENICE BLVD SUITE 700
CULVER CITY CA
90232-2732
US

V. Phone/Fax

Practice location:
  • Phone: 310-894-5335
  • Fax: 310-840-7023
Mailing address:
  • Phone: 310-894-5335
  • Fax: 310-840-7023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: