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NPI Code Detail

MEDICARE: IVAN ZAMORA

MEDICARE:   IVAN  ZAMORA
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1164159935
Entity Type Code : Individual
Provider Name (Legal Business Name) : IVAN ZAMORA
Provider Business Mailing Address
First Line : 27200 TOURNEY RD STE 255
Second Line :
City : VALENCIA
State : CA
Zip : 91355-4983
Country : US
Telephone Number : 661-222-9901
Fax Number :
Provider Business Practice Location Address
First Line : 27200 TOURNEY RD STE 255
Second Line :
City : VALENCIA
State : CA
Zip : 91355-4983
Country : US
Telephone Number : 661-222-9901
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2022
Last Update Date : 05/24/2026

Similar Medicare Providers

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Directions to “ IVAN ZAMORA ” Practice Location

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