Provider Demographics
NPI:1457452310
Name:ZAPANTA-NOVERO, YOLANDA A (MD)
Entity Type:Individual
Prefix:DR
First Name:YOLANDA
Middle Name:A
Last Name:ZAPANTA-NOVERO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:YOLANDA
Other - Middle Name:A
Other - Last Name:ZAPANTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:11852 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:CA
Mailing Address - Zip Code:90701-5864
Mailing Address - Country:US
Mailing Address - Phone:562-860-0329
Mailing Address - Fax:562-531-8845
Practice Address - Street 1:15717 PARAMOUNT BLVD
Practice Address - Street 2:
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-5113
Practice Address - Country:US
Practice Address - Phone:562-531-2231
Practice Address - Fax:562-531-8845
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2011-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA52088208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0085780Medicaid