MEDICARE: MARTHA ZENDEJAS

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	106H00000X	Marriage & Family Therapist	AMFT117878	CA

General Provider Information

NPI Number	:	1326170341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA ZENDEJAS

Provider Business Mailing Address
First Line	:	2958 E FLORENCE AVE FL 2
Second Line	:
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-5826
Country	:	US
Telephone Number	:	323-896-4882
Fax Number	:	323-201-3537

Provider Business Practice Location Address
First Line	:	2958 E FLORENCE AVE FL 2
Second Line	:
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-5826
Country	:	US
Telephone Number	:	323-896-4882
Fax Number	:	323-201-3537

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

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	01/06/2026

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