Healthcare Provider Details

I. General information

NPI: 1063601649
Provider Name (Legal Business Name): ERIKA ZAIZAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3960 W POINT LOMA BLVD STE H47
SAN DIEGO CA
92110-5643
US

IV. Provider business mailing address

13687 CYNTHIA LANE APT 30
POWAY CA
92064
US

V. Phone/Fax

Practice location:
  • Phone: 619-248-9023
  • Fax:
Mailing address:
  • Phone: 619-248-9023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355A2700X
TaxonomyAudiology Assistant
License Number408
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: