Healthcare Provider Details

I. General information

NPI: 1225834039
Provider Name (Legal Business Name): JOELLA ZAPANTA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2025
Last Update Date: 03/29/2025
Certification Date: 03/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E VALENCIA MESA DR
FULLERTON CA
92835-3809
US

IV. Provider business mailing address

3943 IRVINE BLVD # 407
IRVINE CA
92602-2400
US

V. Phone/Fax

Practice location:
  • Phone: 323-488-4658
  • Fax:
Mailing address:
  • Phone: 323-488-4658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95032739
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: