Healthcare Provider Details

I. General information

NPI: 1326995648
Provider Name (Legal Business Name): SIK WIT IT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 03/16/2026
Certification Date: 03/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2532 MOUNTAIN VIEW RD
EL MONTE CA
91733-2810
US

IV. Provider business mailing address

2532 MOUNTAIN VIEW RD
EL MONTE CA
91733-2810
US

V. Phone/Fax

Practice location:
  • Phone: 909-282-7358
  • Fax:
Mailing address:
  • Phone: 909-282-7358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: MARION ZIPPERLE
Title or Position: PSYCHOLOGIST
Credential: DO
Phone: 840-277-0698