Healthcare Provider Details

I. General information

NPI: 1700291820
Provider Name (Legal Business Name): GERI ZUNIGA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: GERALDINE ZUNIGA LCSW

II. Dates (important events)

Enumeration Date: 06/26/2014
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24439 THUNDER TRAIL
DIAMOND CA
91765
US

IV. Provider business mailing address

1142 S DIAMOND BAR BLVD # 823
DIAMOND BAR CA
91765-2203
US

V. Phone/Fax

Practice location:
  • Phone: 714-603-9066
  • Fax:
Mailing address:
  • Phone: 714-603-9066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number78431
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: