Provider Demographics
NPI:1447945449
Name:ZAPATA, MARIA G
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:G
Last Name:ZAPATA
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 1:3101 S FAIRVIEW ST SPC 201
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-6580
Mailing Address - Country:US
Mailing Address - Phone:714-661-7932
Mailing Address - Fax:
Practice Address - Street 1:3101 S FAIRVIEW ST SPC 201
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-6580
Practice Address - Country:US
Practice Address - Phone:714-661-7932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA693768164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse