Healthcare Provider Details

I. General information

NPI: 1215643861
Provider Name (Legal Business Name): ESTER ZAPATA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2023
Last Update Date: 01/26/2023
Certification Date: 01/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5850 S MAIN ST
LOS ANGELES CA
90003-1215
US

IV. Provider business mailing address

5850 S MAIN ST
LOS ANGELES CA
90003-1215
US

V. Phone/Fax

Practice location:
  • Phone: 323-868-7600
  • Fax: 323-562-1015
Mailing address:
  • Phone: 323-868-7600
  • Fax: 323-562-1015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number233903
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: