Healthcare Provider Details

I. General information

NPI: 1710876917
Provider Name (Legal Business Name): JARED ZUNIGA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2025
Last Update Date: 07/01/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4880 MARKET STREET, VENTURA, CA 93003 4880 MARKET STREET
VENTURA CA
93003
US

IV. Provider business mailing address

4880 MARKET STREET, VENTURA, CA 93003 4880 MARKET STREET
VENTURA CA
93003
US

V. Phone/Fax

Practice location:
  • Phone: 805-212-4072
  • Fax: 805-212-4072
Mailing address:
  • Phone: 805-277-1928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: