Zenaida Leano Suzara
Individual provider Active NPI Licensed Psychiatric Technician · Stockton, CA
NPI 1124242979 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124242979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Psychiatric Technician 167G00000X
- License
- PT32630 (CA)
- Practice address
- 1212 N California St
Stockton, CA 95202-1552 - Phone
- (209) 468-8660
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT32630 | CA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | PT32630 | CA | Yes |
Addresses
Primary practice location
1212 N California St
Stockton, CA 95202-1552
Mailing address
227 Woodstock Dr
Stockton, CA 95207-5829
Other providers in Stockton, CA
- Sutter Valley Medical Foundation
- Sutter Valley Medical Foundation
- Sutter Valley Medical Foundation
- Sutter Valley Medical Foundation
- Sutter Visiting Nurse Association and Hospice
- Natalie Svinth
- Kala Swamynathan
- Deoshana Swan
- Niketa Marie Swaney
- David Swanson
All providers in Stockton, CA · Licensed Psychiatric Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.