Healthcare Provider Details

I. General information

NPI: 1750241386
Provider Name (Legal Business Name): KIM ZUNIGA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2025
Last Update Date: 11/15/2025
Certification Date: 11/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13315 W WASHINGTON BLVD
LOS ANGELES CA
90066-5169
US

IV. Provider business mailing address

351 FLOWER ST
PASADENA CA
91104-1020
US

V. Phone/Fax

Practice location:
  • Phone: 310-577-3000
  • Fax:
Mailing address:
  • Phone: 213-422-6664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number20456
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: