Healthcare Provider Details

I. General information

NPI: 1750266052
Provider Name (Legal Business Name): VALENTINA ZAKARIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

629 9TH ST
IMPERIAL BEACH CA
91932-1508
US

IV. Provider business mailing address

12058 CALLE DE MONTANA UNIT 266
EL CAJON CA
92019-4918
US

V. Phone/Fax

Practice location:
  • Phone: 619-424-5115
  • Fax:
Mailing address:
  • Phone: 832-791-9236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number113072
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: