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NPI Code Detail

MEDICARE: PROF. ANTOINETTE ZARAGOZA NURSE PRACTITIONER

MEDICARE:  PROF. ANTOINETTE  ZARAGOZA  NURSE PRACTITIONER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse Practitioner266488CA

General Provider Information

NPI Number : 1003037466
Entity Type Code : Individual
Provider Name (Legal Business Name) : PROF. ANTOINETTE ZARAGOZA NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 245 S. FETTERLY AVE
Second Line : ROYBAL COMPREHENSIVE CHC
City : LOS ANGELES
State : CA
Zip : 90022-0000
Country : US
Telephone Number : 323-780-2216
Fax Number :
Provider Business Practice Location Address
First Line : 245 S. FETTERLY AVE
Second Line : ROYBAL COMPREHENSIVE CHC
City : LOS ANGELES
State : CA
Zip : 90022-0000
Country : US
Telephone Number : 323-780-2216
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 04/04/2014

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Directions to “ PROF. ANTOINETTE ZARAGOZA NURSE PRACTITIONER” Practice Location

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