Provider Demographics
NPI:1588557243
Name:ZARATE, LOURDES PATRICIA (FNP-BC)
Entity type:Individual
Prefix:
First Name:LOURDES
Middle Name:PATRICIA
Last Name:ZARATE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14924 PEMBERTON DR
Mailing Address - Street 2:
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-4534
Mailing Address - Country:US
Mailing Address - Phone:714-315-5826
Mailing Address - Fax:
Practice Address - Street 1:3650 SOUTH ST STE 204
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90712-1521
Practice Address - Country:US
Practice Address - Phone:562-602-8841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95035077207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine