Healthcare Provider Details

I. General information

NPI: 1417875857
Provider Name (Legal Business Name): KARIN ZALDANA-MORAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5800 PACIFIC BLVD
HUNTINGTON PARK CA
90255-2618
US

IV. Provider business mailing address

3119 GARNET LN APT A
FULLERTON CA
92831-2460
US

V. Phone/Fax

Practice location:
  • Phone: 888-969-4427
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: