Healthcare Provider Details

I. General information

NPI: 1245193416
Provider Name (Legal Business Name): SANDRA ZUNIGA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7515 VAN NUYS BLVD
VAN NUYS CA
91405-1949
US

IV. Provider business mailing address

7515 VAN NUYS BLVD
VAN NUYS CA
91405-1949
US

V. Phone/Fax

Practice location:
  • Phone: 818-627-3000
  • Fax: 818-947-4027
Mailing address:
  • Phone: 818-627-3000
  • Fax: 818-947-4027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number95369623
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: