Provider Demographics
NPI:1407594146
Name:ZAMORA, KEVIN STEVE
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:STEVE
Last Name:ZAMORA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7226 SEPULVEDA BLVD. VAN NUYS
Mailing Address - Street 2:
Mailing Address - City:SAN FERNANDO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91405
Mailing Address - Country:US
Mailing Address - Phone:818-235-1414
Mailing Address - Fax:818-235-1414
Practice Address - Street 1:1055 W 7TH ST STE 1800
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-2544
Practice Address - Country:US
Practice Address - Phone:213-607-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-23
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst