Healthcare Provider Details

I. General information

NPI: 1275379174
Provider Name (Legal Business Name): ZAVA CLS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2024
Last Update Date: 07/01/2024
Certification Date: 07/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 MORELLO HILLS DR
MARTINEZ CA
94553-7221
US

IV. Provider business mailing address

1990 N CALIFORNIA BLVD FL 8
WALNUT CREEK CA
94596-3742
US

V. Phone/Fax

Practice location:
  • Phone: 925-393-4949
  • Fax:
Mailing address:
  • Phone: 925-393-4949
  • Fax: 866-632-0255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246QM0706X
TaxonomyMedical Technologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANA-VI C AUSTRIA
Title or Position: CEO
Credential: CLS
Phone: 925-393-4949