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NPI Code Detail

MEDICARE: ZETA PATTI-DURAN

MEDICARE:   ZETA  PATTI-DURAN
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1750224796
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZETA PATTI-DURAN
Provider Business Mailing Address
First Line : 23701 BIRTCHER DR
Second Line :
City : LAKE FOREST
State : CA
Zip : 92630-1772
Country : US
Telephone Number : 931-472-8623
Fax Number :
Provider Business Practice Location Address
First Line : 23701 BIRTCHER DR
Second Line :
City : LAKE FOREST
State : CA
Zip : 92630-1772
Country : US
Telephone Number : 931-472-8623
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ ZETA PATTI-DURAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.