MEDICARE: LOURDES PATRICIA ZARATE FNP-BC

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	207Q00000X	Family Medicine Physician	95035077	CA

General Provider Information

NPI Number	:	1588557243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOURDES PATRICIA ZARATE FNP-BC

Provider Business Mailing Address
First Line	:	14924 PEMBERTON DR
Second Line	:
City	:	LA MIRADA
State	:	CA
Zip	:	90638-4534
Country	:	US
Telephone Number	:	714-315-5826
Fax Number	:

Provider Business Practice Location Address
First Line	:	3650 SOUTH ST STE 204
Second Line	:
City	:	LAKEWOOD
State	:	CA
Zip	:	90712-1521
Country	:	US
Telephone Number	:	562-602-8841
Fax Number	:

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

Provider Enumeration Date	:	06/02/2025
Last Update Date	:	06/02/2025

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