Basic Information
| Provider Information | |||||||||
| NPI: | 1710012968 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ZILAHI | ||||||||
| FirstName: | PATRICIA | ||||||||
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| Credential: | MFT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 375 89TH ST | ||||||||
| Address2: | |||||||||
| City: | DALY CITY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 940151802 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6503018664 | ||||||||
| FaxNumber: | 6503018639 | ||||||||
| Practice Location | |||||||||
| Address1: | 375 89TH ST | ||||||||
| Address2: | |||||||||
| City: | DALY CITY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 940151802 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6503018664 | ||||||||
| FaxNumber: | 6503018639 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/21/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | MFC25973 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
ID Information
| ID | Type | State | Issuer | Description | MFC25973 | 01 | CA | MFT | OTHER |