Provider Demographics
NPI:1669841383
Name:ZINATI, ROSARIO (PT 27736)
Entity Type:Individual
Prefix:MRS
First Name:ROSARIO
Middle Name:
Last Name:ZINATI
Suffix:
Gender:F
Credentials:PT 27736
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 S MAPLE DR
Mailing Address - Street 2:APT 203
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-3350
Mailing Address - Country:US
Mailing Address - Phone:818-399-1002
Mailing Address - Fax:
Practice Address - Street 1:405 E ESPLANADE DR
Practice Address - Street 2:102
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-2114
Practice Address - Country:US
Practice Address - Phone:805-485-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-23
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27736225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA27736PTOtherCAPTA