1861920712 NPI number — MS. LIBERATRIZ ZIPAGANG MALARKEY LMFT

Table of content: MS. LIBERATRIZ ZIPAGANG MALARKEY LMFT (NPI 1861920712)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861920712 NPI number — MS. LIBERATRIZ ZIPAGANG MALARKEY LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MALARKEY
Provider First Name:
LIBERATRIZ
Provider Middle Name:
ZIPAGANG
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MALARKEY
Provider Other First Name:
BET
Provider Other Middle Name:
ZIPAGANG
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMFT
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1861920712
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/23/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20322 PORTVIEW CIR UNIT 203
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUNTINGTON BEACH
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92646-8559
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
714-420-9005
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
62 DISCOVERY STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
IRVINE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92618-3143
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-551-4272
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/23/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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