Provider Demographics
NPI:1740889336
Name:ZUNIGA, D (PHARMD)
Entity type:Individual
Prefix:
First Name:D
Middle Name:
Last Name:ZUNIGA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 514682
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90051-2682
Mailing Address - Country:US
Mailing Address - Phone:323-232-5095
Mailing Address - Fax:
Practice Address - Street 1:637 EAST 53RD STREET
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90011-4617
Practice Address - Country:US
Practice Address - Phone:323-232-5095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-23
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA66101183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist