Provider Demographics
NPI:1093935777
Name:ZAVALA, DAMIAN ERIC (LCSW)
Entity Type:Individual
Prefix:
First Name:DAMIAN
Middle Name:ERIC
Last Name:ZAVALA
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9829 CARMENITA RD
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90605-3229
Mailing Address - Country:US
Mailing Address - Phone:562-533-7775
Mailing Address - Fax:
Practice Address - Street 1:9829 CARMENITA RD
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90605-3229
Practice Address - Country:US
Practice Address - Phone:562-533-7775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS214111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical