Healthcare Provider Details

I. General information

NPI: 1376478123
Provider Name (Legal Business Name): CREDIT ZILLOW INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30429 CALLE DE SUENOS
RANCHO PALOS VERDES CA
90275-4523
US

IV. Provider business mailing address

30429 CALLE DE SUENOS
RANCHO PALOS VERDES CA
90275-4523
US

V. Phone/Fax

Practice location:
  • Phone: 424-202-9813
  • Fax:
Mailing address:
  • Phone: 424-202-9813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: SONNY HARRIS
Title or Position: ADMINISTRATOR
Credential:
Phone: 424-202-9813