Provider Demographics
NPI:1154140564
Name:ZAYTSEVA, MARGARITA I (RN, DOULA)
Entity type:Individual
Prefix:
First Name:MARGARITA
Middle Name:I
Last Name:ZAYTSEVA
Suffix:
Gender:F
Credentials:RN, DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28832 AVALON AVE
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92555-7065
Mailing Address - Country:US
Mailing Address - Phone:206-841-2889
Mailing Address - Fax:
Practice Address - Street 1:721 NEVADA ST
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-8079
Practice Address - Country:US
Practice Address - Phone:909-572-8280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
CA95267241163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No374J00000XNursing Service Related ProvidersDoula