Healthcare Provider Details

I. General information

NPI: 1215852231
Provider Name (Legal Business Name): VALERY LIZBETH ZAVALA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12440 FIRESTONE BLVD STE 3015
NORWALK CA
90650-9333
US

IV. Provider business mailing address

12012 CYCLOPS ST
NORWALK CA
90650-1958
US

V. Phone/Fax

Practice location:
  • Phone: 562-291-3477
  • Fax:
Mailing address:
  • Phone: 562-484-8548
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number10576
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: