Healthcare Provider Details

I. General information

NPI: 1104325836
Provider Name (Legal Business Name): ASHLEY ELIZABETH ZAPIEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2018
Last Update Date: 02/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 W SANTA ANA BLVD STE 108
SANTA ANA CA
92701-4582
US

IV. Provider business mailing address

600 W SANTA ANA BLVD STE 108
SANTA ANA CA
92701-4582
US

V. Phone/Fax

Practice location:
  • Phone: 714-667-7926
  • Fax: 714-667-7918
Mailing address:
  • Phone: 714-667-7926
  • Fax: 714-667-7918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: