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General NPI Number Information
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NPI Number | 1881330918
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Entity Type | Organization
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Legal Business Name | ZOCALO MEDICAL GROUP CA
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Dates
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Enumeration Date | 05/11/2022
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 214 E WALNUT ST
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City | SANTA ANA
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State | CA
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Zip | 92701-5896
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Country | US
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Telephone | 323-435-6669
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Fax | 424-999-0324
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Provider Business Mailing Address
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Address Line | 214 E WALNUT ST
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City | SANTA ANA
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State | CA
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Zip | 92701-5896
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Country | US
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Telephone |
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Fax | 338-871-4204
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ERIK CARDENAS
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Credential |
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Telephone | 210-442-7676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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