Healthcare Provider Details

I. General information

NPI: 1669384400
Provider Name (Legal Business Name): ESTELLE ZOLA MARTIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15372 GUNDRY AVE
PARAMOUNT CA
90723-3913
US

IV. Provider business mailing address

15372 GUNDRY AVE
PARAMOUNT CA
90723-3913
US

V. Phone/Fax

Practice location:
  • Phone: 562-328-3735
  • Fax:
Mailing address:
  • Phone: 562-328-3735
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberNP13355
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP13355
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: