Provider Demographics
NPI:1760663504
Name:ZUNIGA, ERIC DANIEL (PRACTITIONER)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:DANIEL
Last Name:ZUNIGA
Suffix:
Gender:M
Credentials:PRACTITIONER
Other - Prefix:
Other - First Name:ERIC
Other - Middle Name:
Other - Last Name:ZUNIGA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PRACTITIONER
Mailing Address - Street 1:1731 HOWE AVE STE 536
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-2209
Mailing Address - Country:US
Mailing Address - Phone:877-783-2077
Mailing Address - Fax:
Practice Address - Street 1:1731 HOWE AVE STE 536
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-2209
Practice Address - Country:US
Practice Address - Phone:877-783-2077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-20
Last Update Date:2021-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA133NN1002X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education