Provider Demographics
NPI:1679701940
Name:ZAMORA, ESTHER SALGUERO (SLP)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:SALGUERO
Last Name:ZAMORA
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CIVIC PLAZA DR
Mailing Address - Street 2:SUITE 625
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90745-2243
Mailing Address - Country:US
Mailing Address - Phone:866-414-0448
Mailing Address - Fax:310-549-4700
Practice Address - Street 1:1 CIVIC PLAZA DR
Practice Address - Street 2:SUITE 625
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90745-2243
Practice Address - Country:US
Practice Address - Phone:866-414-0448
Practice Address - Fax:310-549-4700
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-25
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP 9716235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADG17 S38OtherMEDI-CAL