Healthcare Provider Details

I. General information

NPI: 1780421438
Provider Name (Legal Business Name): ANGELINE ZUFELT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2024
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2060 CAMPUS DR
YREKA CA
96097-9538
US

IV. Provider business mailing address

2060 CAMPUS DR
YREKA CA
96097-9538
US

V. Phone/Fax

Practice location:
  • Phone: 530-841-4704
  • Fax:
Mailing address:
  • Phone: 530-841-4704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberASW113792
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: