Doctor Name: | ALFREDO ZEPEDA |
NPI Number: | 1033306980 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 29140 |
Business Practice Address: | 375 89th St Daly City, CA - 940151802 |
Business Phone Number: | 4153018650 |
Business Fax Number: | |
Mailing Address: | 375 89th St, DALY CITY |
State: | CA |
Postal Code: | 940151802 |
Phone Number: | 4153018650 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2007 |
NPI Last Update Date: | 06/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 29140 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |