Provider Demographics
NPI:1407637481
Name:ZERMENO, AITANA (ND)
Entity Type:Individual
Prefix:
First Name:AITANA
Middle Name:
Last Name:ZERMENO
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:856 HEALTH SCIENCES RD
Mailing Address - Street 2:SUITE 2600
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92617
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:856 HEALTH SCIENCES RD
Practice Address - Street 2:SUITE 2600
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92617
Practice Address - Country:US
Practice Address - Phone:949-824-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1444175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath