Healthcare Provider Details

I. General information

NPI: 1649334228
Provider Name (Legal Business Name): ANGELA BELLA ZUIDEMA M.A., LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 E CESAR E CHAVEZ AVE STE 216
LOS ANGELES CA
90033-2414
US

IV. Provider business mailing address

5442 E WILLOWICK CIR
ANAHEIM CA
92807-4642
US

V. Phone/Fax

Practice location:
  • Phone: 323-265-5013
  • Fax: 323-307-8545
Mailing address:
  • Phone: 626-320-9141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number46285
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: