Provider Information for 1629560610
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JAVIER ZUNIGA LCSW
Sex: Male
NPI: 1629560610
Last Updated: 2018-06-05
Certification Date:
Certification Date:
Details
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NPI | 1629560610 | ||||||||||||
Enumeration Date | 2018-06-05 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 333 S BEAUDRY AVE LOS ANGELES, CA 90017-1466 United States Phone: 213-241-3841 | Fax:213-241-3305 | ||||||||||||
Primary Practice Address | 333 S BEAUDRY AVE LOS ANGELES, CA 90017-1466 United States Phone: 213-241-3841 | Fax:213-241-3305 | ||||||||||||
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