Individual provider · Type 1 NPI

Manuel Zepeda Jr., R1588151124

Rehabilitation Practitioner · Azusa, CA

NPI number 1285442194 Active

Practice location

23701 E East Fork Rd
Azusa, CA 91702-1477

Call (626) 910-1202 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XR1588151124 (CA)
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1285442194

Manuel Zepeda Jr., R1588151124's National Provider Identifier is 1285442194, issued on Dec 23, 2024. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Azusa, CA. The record was last updated on Jun 11, 2025.