Provider Demographics
NPI:1477317527
Name:ZARBALLO, ESTEBAN (EMT)
Entity Type:Individual
Prefix:
First Name:ESTEBAN
Middle Name:
Last Name:ZARBALLO
Suffix:
Gender:M
Credentials:EMT
Other - Prefix:
Other - First Name:ESTEBAN
Other - Middle Name:
Other - Last Name:ARBALLO LOHR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17060 MONTEREY ST
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-3636
Mailing Address - Country:US
Mailing Address - Phone:408-479-3796
Mailing Address - Fax:
Practice Address - Street 1:17060 MONTEREY ST
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-3636
Practice Address - Country:US
Practice Address - Phone:408-479-3796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE091591146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic