Provider Demographics
NPI:1932813367
Name:BUNDAKJI, ZAYNAB HAITHAM (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ZAYNAB
Middle Name:HAITHAM
Last Name:BUNDAKJI
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16072 BURGESS CIR
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-7640
Mailing Address - Country:US
Mailing Address - Phone:562-264-5554
Mailing Address - Fax:
Practice Address - Street 1:16072 BURGESS CIR
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-7640
Practice Address - Country:US
Practice Address - Phone:562-264-5554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-10
Last Update Date:2023-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33331235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist