Provider Demographics
NPI:1417155367
Name:ZAPATA, GENNY B (PSYD)
Entity Type:Individual
Prefix:DR
First Name:GENNY
Middle Name:B
Last Name:ZAPATA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:GENY
Other - Middle Name:B
Other - Last Name:ZAPATA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:5823 YORK BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90042-2634
Mailing Address - Country:US
Mailing Address - Phone:323-255-5643
Mailing Address - Fax:323-254-2158
Practice Address - Street 1:1701 CESAR CHAVEZ AVE SUITE 230
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033
Practice Address - Country:US
Practice Address - Phone:323-226-1100
Practice Address - Fax:323-226-1101
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health