Healthcare Provider Details

I. General information

NPI: 1912835539
Provider Name (Legal Business Name): ELIAS ZUNIGA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E ALMOND AVE STE 1
MADERA CA
93637-5600
US

IV. Provider business mailing address

3533 SEASIDE DR
MADERA CA
93637-6710
US

V. Phone/Fax

Practice location:
  • Phone: 559-512-3526
  • Fax:
Mailing address:
  • Phone: 559-598-5055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberY1604080
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: