Healthcare Provider Details

I. General information

NPI: 1043132830
Provider Name (Legal Business Name): KAREN MARGET ZELAYA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30067 ADRIFT LN
MENIFEE CA
92584-0517
US

IV. Provider business mailing address

30067 ADRIFT LN
MENIFEE CA
92584-0517
US

V. Phone/Fax

Practice location:
  • Phone: 951-570-3891
  • Fax:
Mailing address:
  • Phone: 951-570-3891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number683234
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: