Healthcare Provider Details

I. General information

NPI: 1013524362
Provider Name (Legal Business Name): ABIGAIL RESENDIZ-ZUNIGA MSW, ASW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2020
Last Update Date: 01/29/2021
Certification Date: 01/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

459 E COLORADO BLVD
PASADENA CA
91101-2024
US

IV. Provider business mailing address

2101 N TUSTIN AVE
SANTA ANA CA
92705-7819
US

V. Phone/Fax

Practice location:
  • Phone: 800-488-3414
  • Fax:
Mailing address:
  • Phone: 714-571-5228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: