KELLY R ZOLLO LPT NPI 1962638510

NPI Information

  • NPI: 1962638510
  • Provider Name: KELLY R ZOLLO, LPT
  • Classification: Licensed Psychiatric Technician - 167G00000X
  • Entity Type: Individual
  • Address: 12353 IMPERIAL HWY
    NORWALK, CA
    ZIP 90650
  • Phone: (562) 484-3385

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NPI Details

Kelly R Zollo, LPT is a licensed psychiatric technician in Norwalk, CA. The provider is an individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. Kelly R Zollo, LPT NPI is 1962638510. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12353 IMPERIAL HWY
NORWALK, CA
ZIP 90650-305
Phone: (562) 484-3385
Fax: (562) 484-0269

The enumeration date for this NPI number is 6/9/2009 and was last updated on 6/9/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1167G00000XLicensed Psychiatric Technician30755CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11512013461MEDICAIDCALIFORNIA
21512013461MEDICARE PINCALIFORNIA
31512013461MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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