Provider Demographics
NPI:1508191891
Name:SHUAIB, ZUWERATU SALLEY (CRT/RCP)
Entity Type:Individual
Prefix:
First Name:ZUWERATU
Middle Name:SALLEY
Last Name:SHUAIB
Suffix:
Gender:F
Credentials:CRT/RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 ASBURY
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-1620
Mailing Address - Country:US
Mailing Address - Phone:714-362-6837
Mailing Address - Fax:714-389-5981
Practice Address - Street 1:8 ASBURY
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92602-1620
Practice Address - Country:US
Practice Address - Phone:714-362-6837
Practice Address - Fax:714-389-5981
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA000070802278G1100X, 2278H0200X, 2278P1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278P1005XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary Rehabilitation
No2278G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGeneral Care
No2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome Health