Healthcare Provider Details

I. General information

NPI: 1003024555
Provider Name (Legal Business Name): NORMA ZAPATA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 06/04/2024
Certification Date: 06/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39000 BOB HOPE DR
RANCHO MIRAGE CA
92270-3221
US

IV. Provider business mailing address

39000 BOB HOPE DR
RANCHO MIRAGE CA
92270-3221
US

V. Phone/Fax

Practice location:
  • Phone: 760-340-3911
  • Fax: 760-773-1239
Mailing address:
  • Phone: 760-340-3911
  • Fax: 760-773-1239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS16618
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: