Healthcare Provider Details

I. General information

NPI: 1548618952
Provider Name (Legal Business Name): REBECCA KOO ZAPOTOSKY R.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2016
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 17TH ST STE 1000
DENVER CO
80202-2043
US

IV. Provider business mailing address

15945 HORNELL ST
WHITTIER CA
90603-2838
US

V. Phone/Fax

Practice location:
  • Phone: 720-204-5760
  • Fax:
Mailing address:
  • Phone: 949-351-2695
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86028862
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86028862
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: