Basic Information
Provider Information
NPI: 1659741619
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SANCHEZ-ZARAGOZA
FirstName: CLAUDIA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8121 ALLENGROVE ST
Address2:  
City: DOWNEY
State: CA
PostalCode: 902402731
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 901 N PACIFIC COAST HWY
Address2:  
City: REDONDO BEACH
State: CA
PostalCode: 902772162
CountryCode: US
TelephoneNumber: 3103161610
FaxNumber: 3103164209
Other Information
ProviderEnumerationDate: 10/03/2015
LastUpdateDate: 10/03/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
106H00000XIMF81455CAY Behavioral Health & Social Service ProvidersMarriage & Family Therapist 

No ID Information.


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