Healthcare Provider Details

I. General information

NPI: 1669186052
Provider Name (Legal Business Name): JESSICA ZARIF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2023
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 SUNNE LN STE 112
WALNUT CREEK CA
94597-3613
US

IV. Provider business mailing address

5300 CONCERTO CIR
CONCORD CA
94521-3250
US

V. Phone/Fax

Practice location:
  • Phone: 925-360-6092
  • Fax:
Mailing address:
  • Phone: 925-360-6092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: