Provider Demographics
NPI:1013649987
Name:ZUNIGA, LUIS
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:
Last Name:ZUNIGA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 W LIVE OAK AVE
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-8517
Mailing Address - Country:US
Mailing Address - Phone:725-261-6634
Mailing Address - Fax:725-500-5882
Practice Address - Street 1:36 W LIVE OAK AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-8517
Practice Address - Country:US
Practice Address - Phone:725-261-6634
Practice Address - Fax:725-500-5882
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician