Provider Demographics
NPI:1871875153
Name:ZEPEDA, JOHN P
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:P
Last Name:ZEPEDA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3538 CALLE PRINCIPAL
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-0373
Mailing Address - Country:US
Mailing Address - Phone:530-893-2199
Mailing Address - Fax:
Practice Address - Street 1:3538 CALLE PRINCIPAL
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-0373
Practice Address - Country:US
Practice Address - Phone:530-893-2199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health