Healthcare Provider Details
I. General information
NPI: 1932341385
Provider Name (Legal Business Name): LYDIA SORIANO ZAPANTA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/01/2009
Last Update Date: 04/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1619 CECIL AVE
DELANO CA
93215
US
IV. Provider business mailing address
PO BOX 219
DELANO CA
93216-0219
US
V. Phone/Fax
- Phone: 661-725-6265
- Fax: 661-725-2899
- Phone: 661-725-6265
- Fax: 661-725-2899
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | A41751 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: