Healthcare Provider Details

I. General information

NPI: 1316854730
Provider Name (Legal Business Name): HAZEL JOHNELLE ZAPATIER
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10900 LOS ALAMITOS BLVD
LOS ALAMITOS CA
90720-2354
US

IV. Provider business mailing address

119 W TORRANCE BLVD
REDONDO BEACH CA
90277-3600
US

V. Phone/Fax

Practice location:
  • Phone: 925-482-3334
  • 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: