MEDICARE: ZENZONE PSYCHIATRY

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1669336947
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZENZONE PSYCHIATRY

Provider Business Mailing Address
First Line	:	3350 SHELBY ST STE 200
Second Line	:
City	:	ONTARIO
State	:	CA
Zip	:	91764-5556
Country	:	US
Telephone Number	:	909-619-3441
Fax Number	:

Provider Business Practice Location Address
First Line	:	3350 SHELBY ST
Second Line	:
City	:	ONTARIO
State	:	CA
Zip	:	91764-4882
Country	:	US
Telephone Number	:	909-619-3441
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MAY AKALEMEAKU
Credential	:
Telephone Number	:	909-619-3441

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/15/2025

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Directions to “ZENZONE PSYCHIATRY ” Practice Location

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