Healthcare Provider Details

I. General information

NPI: 1538794649
Provider Name (Legal Business Name): MARIA VICTORIA ZAPATA FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2020
Last Update Date: 03/09/2020
Certification Date: 03/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18751 VENTURA BLVD STE 100
TARZANA CA
91356-3372
US

IV. Provider business mailing address

22131 BARRINGTON WAY
SANTA CLARITA CA
91350-5746
US

V. Phone/Fax

Practice location:
  • Phone: 818-600-4144
  • Fax:
Mailing address:
  • Phone: 661-313-8545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95012759
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: