Healthcare Provider Details

I. General information

NPI: 1679258289
Provider Name (Legal Business Name): CHRISTEANA ZAMORA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2023
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 COTTONWOOD ST STE 14
WOODLAND CA
95695-3603
US

IV. Provider business mailing address

520 COTTONWOOD ST STE 14
WOODLAND CA
95695-3603
US

V. Phone/Fax

Practice location:
  • Phone: 916-926-3958
  • Fax:
Mailing address:
  • Phone: 916-926-3958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberMPSS-FSBGWI
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: