Individual
JOHNNY ZUNIGA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
811 W TELEGRAPH RD, SANTA PAULA, CA 93060-5400
(805) 805-2654
Mailing address
701 ASTER ST, OXNARD, CA 93036-2960
(805) 407-8797
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
565850154
CA
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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