Healthcare Provider Details

I. General information

NPI: 1144027327
Provider Name (Legal Business Name): GUADALUPE R ZAVALA CHW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2025
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1336 NATIVIDAD RD
SALINAS CA
93906-3138
US

IV. Provider business mailing address

1336 NATIVIDAD RD
SALINAS CA
93906-3138
US

V. Phone/Fax

Practice location:
  • Phone: 831-754-4444
  • Fax: 831-754-1526
Mailing address:
  • Phone: 831-754-4444
  • Fax: 831-754-1526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: