Provider Demographics
NPI:1316221195
Name:GIESBERG, ZOE ADAMS
Entity Type:Individual
Prefix:MS
First Name:ZOE
Middle Name:ADAMS
Last Name:GIESBERG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 BRONWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-3104
Mailing Address - Country:US
Mailing Address - Phone:310-245-8808
Mailing Address - Fax:
Practice Address - Street 1:838 E 6TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90021-1028
Practice Address - Country:US
Practice Address - Phone:213-623-8446
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-28
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health