Healthcare Provider Details

I. General information

NPI: 1780560375
Provider Name (Legal Business Name): DANIA LIZBETH COREAS ZAMORA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 THE ALAMEDA STE 400
SAN JOSE CA
95126-1437
US

IV. Provider business mailing address

455 EASTMOOR AVE APT 314
DALY CITY CA
94015-2048
US

V. Phone/Fax

Practice location:
  • Phone: 650-538-5217
  • Fax:
Mailing address:
  • Phone: 415-519-5430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: