Provider Demographics
NPI:1164382057
Name:ZELAYA, LIZBET
Entity type:Individual
Prefix:
First Name:LIZBET
Middle Name:
Last Name:ZELAYA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1799 OLD BAYSHORE HWY STE 288
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-1327
Mailing Address - Country:US
Mailing Address - Phone:650-465-2726
Mailing Address - Fax:
Practice Address - Street 1:1799 OLD BAYSHORE HWY STE 288
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-1327
Practice Address - Country:US
Practice Address - Phone:650-465-2726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-13
Last Update Date:2025-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA414700133253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care