MEDICARE: ZORAYA OBONG ZUNIGA M.D.

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	207QA0505X	Adult Medicine Physician	A52552	CA

General Provider Information

NPI Number	:	1710946934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZORAYA OBONG ZUNIGA M.D.

Provider Business Mailing Address
First Line	:	806 N DEL PRADO ST
Second Line	:
City	:	MOUNTAIN HOUSE
State	:	CA
Zip	:	95391-1257
Country	:	US
Telephone Number	:	510-462-8297
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 COTTAGE AVE
Second Line	:	SUITE 103
City	:	MANTECA
State	:	CA
Zip	:	95336-4935
Country	:	US
Telephone Number	:	209-624-5800
Fax Number	:

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

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	01/29/2013

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