Healthcare Provider Details

I. General information

NPI: 1770221855
Provider Name (Legal Business Name): BRENDA ZAVALA-GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2022
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 N DOUTY ST
HANFORD CA
93230-3951
US

IV. Provider business mailing address

669 OTERO ST
LEMOORE CA
93245-4602
US

V. Phone/Fax

Practice location:
  • Phone: 559-583-9300
  • Fax:
Mailing address:
  • Phone: 559-469-6409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberMPSS-HTMEFX
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number23096
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: