MEDICARE: FRANCES ZEPEDA ASW

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
1	225400000X	Rehabilitation Practitioner		CA
2	1041C0700X	Clinical Social Worker	ASW134759	CA
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1265281497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCES ZEPEDA ASW

Provider Business Mailing Address
First Line	:	23701 E EAST FORK RD
Second Line	:
City	:	AZUSA
State	:	CA
Zip	:	91702-1477
Country	:	US
Telephone Number	:
Fax Number	:	626-910-1380

Provider Business Practice Location Address
First Line	:	2600 REDONDO AVE FL 3
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-2325
Country	:	US
Telephone Number	:	562-256-2976
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2024
Last Update Date	:	12/08/2025

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