Healthcare Provider Details

I. General information

NPI: 1720830771
Provider Name (Legal Business Name): ZAYNA NAGI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2024
Last Update Date: 03/27/2026
Certification Date: 04/03/2024
Deactivation Date: 05/20/2024
Reactivation Date: 03/27/2026

III. Provider practice location address

1088 FISHBACK RD
MANTECA CA
95337-8250
US

IV. Provider business mailing address

1088 FISHBACK RD
MANTECA CA
95337-8250
US

V. Phone/Fax

Practice location:
  • Phone: 209-608-9856
  • Fax:
Mailing address:
  • Phone: 209-608-9856
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: