Healthcare Provider Details

I. General information

NPI: 1821895467
Provider Name (Legal Business Name): ROSA MURILLO ZAMORA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2025
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 S HIGHLAND AVE
FULLERTON CA
92832-2753
US

IV. Provider business mailing address

702 N MAVIS ST APT 4
ANAHEIM CA
92805-2003
US

V. Phone/Fax

Practice location:
  • Phone: 714-446-5100
  • Fax:
Mailing address:
  • Phone: 714-723-4834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number128200
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: