Provider Demographics
NPI:1558869099
Name:ZUNIGA, ZAIDA NOEMI (FNP)
Entity type:Individual
Prefix:
First Name:ZAIDA
Middle Name:NOEMI
Last Name:ZUNIGA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 BRADBURY HILLS RD
Mailing Address - Street 2:
Mailing Address - City:BRADBURY
Mailing Address - State:CA
Mailing Address - Zip Code:91008-1130
Mailing Address - Country:US
Mailing Address - Phone:626-278-5183
Mailing Address - Fax:831-758-4094
Practice Address - Street 1:101 E BEVERLY BLVD STE 408
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-4317
Practice Address - Country:US
Practice Address - Phone:323-726-9606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-30
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95007995261QP2300X
CA95007995363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care