Healthcare Provider Details

I. General information

NPI: 1497650493
Provider Name (Legal Business Name): GIOVANNI ZAMORA JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1136 DE LA VINA ST
SANTA BARBARA CA
93101-3114
US

IV. Provider business mailing address

1318 LELAND WAY
BURBANK CA
91504-4115
US

V. Phone/Fax

Practice location:
  • Phone: 805-569-2785
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number21843
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: