Individual provider · Type 1 NPI

Larry Zimmerman Ii

Addiction (Substance Use Disorder) Counselor · Upland, CA

NPI number 1780504100 Active

Practice location

239 W 9th St
Upland, CA 91786-5979

Mailing address

11832 Euclid St
Garden Grove, CA 92840-2227

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1780504100

Larry Zimmerman Ii's National Provider Identifier is 1780504100, issued on Jul 16, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Upland, CA. The record was last updated on Jul 16, 2026.