Healthcare Provider Details

I. General information

NPI: 1437636263
Provider Name (Legal Business Name): MS. MARIA C. ZUNIGA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2018
Last Update Date: 07/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 N COURT ST
VISALIA CA
93291-4918
US

IV. Provider business mailing address

968 E CLEVELAND AVE
PORTERVILLE CA
93257-4274
US

V. Phone/Fax

Practice location:
  • Phone: 558-707-4687
  • Fax:
Mailing address:
  • Phone: 559-531-5156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: