Provider Demographics
NPI:1770112211
Name:ZERI, NATALIE (CMT, PCD(DONA), CLC)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:ZERI
Suffix:
Gender:F
Credentials:CMT, PCD(DONA), CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12405 VENICE BLVD # 160
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-3803
Mailing Address - Country:US
Mailing Address - Phone:310-363-0623
Mailing Address - Fax:
Practice Address - Street 1:3989 S CENTINELA AVE # 102
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-4929
Practice Address - Country:US
Practice Address - Phone:310-363-0623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10651374J00000X
172V00000X
CA65220225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No374J00000XNursing Service Related ProvidersDoula
No172V00000XOther Service ProvidersCommunity Health Worker