Provider Demographics
NPI:1467106781
Name:ZAIDI, RAFIA
Entity Type:Individual
Prefix:
First Name:RAFIA
Middle Name:
Last Name:ZAIDI
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 1:44901 TUDAL ST
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-5507
Mailing Address - Country:US
Mailing Address - Phone:714-251-2487
Mailing Address - Fax:
Practice Address - Street 1:12572 VOLKWOOD ST
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840-5931
Practice Address - Country:US
Practice Address - Phone:714-251-2487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-06
Last Update Date:2022-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1064881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical