Healthcare Provider Details

I. General information

NPI: 1992593149
Provider Name (Legal Business Name): MONICA ANDREA ZUNIGA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2025
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1914 W TYLER AVE
VISALIA CA
93291-8165
US

IV. Provider business mailing address

1914 W TYLER AVE
VISALIA CA
93291-8165
US

V. Phone/Fax

Practice location:
  • Phone: 805-816-1954
  • Fax:
Mailing address:
  • Phone: 805-816-1954
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number24453
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: