Healthcare Provider Details

I. General information

NPI: 1457452310
Provider Name (Legal Business Name): YOLANDA A. ZAPANTA-NOVERO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: YOLANDA A. ZAPANTA M.D.

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 11/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15717 PARAMOUNT BLVD
PARAMOUNT CA
90723-5113
US

IV. Provider business mailing address

11852 PARK AVE
ARTESIA CA
90701-5864
US

V. Phone/Fax

Practice location:
  • Phone: 562-531-2231
  • Fax: 562-531-8845
Mailing address:
  • Phone: 562-860-0329
  • Fax: 562-531-8845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA52088
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: