Healthcare Provider Details
I. General information
NPI: 1770112211
Provider Name (Legal Business Name): NATALIE ZERI CMT, PCD(DONA), CLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/06/2020
Last Update Date: 07/26/2024
Certification Date: 07/26/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3989 S CENTINELA AVE # 102
LOS ANGELES CA
90066-4929
US
IV. Provider business mailing address
12405 VENICE BLVD # 160
LOS ANGELES CA
90066-3803
US
V. Phone/Fax
- Phone: 310-363-0623
- Fax:
- Phone: 310-363-0623
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | 65220 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 172V00000X |
| Taxonomy | Community Health Worker |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374J00000X |
| Taxonomy | Doula |
| License Number | 10651 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: