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KELLY R ZOLLO LPT
NPI 1962638510
Licensed Psychiatric Technician in Norwalk, CA

Active since June 09, 2009
12353 IMPERIAL HWY, NORWALK, CA 90650(562) 484-3385(562) 484-0269 Get Directions Write a Review

NPPES record last updated: June 9, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly R Zollo Lpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY R ZOLLO LPT (NPI 1962638510) is an individual licensed psychiatric technician in Norwalk, California, licensed in California (30755) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1962638510
Entity TypeIndividualMale
Primary Taxonomy167G00000X
Provider Legal NameKELLY R ZOLLOCredential: LPT
Location Address12353 IMPERIAL HWYNorwalk, CA 90650-8305
Mailing Address12353 Imperial HwyNorwalk, CA 90650-8305 · (562) 484-3385 · Fax (562) 484-0269
Phone(562) 484-3385
Fax(562) 484-0269
Sole ProprietorYes
Enumeration DateJune 9, 2009
✔ NPI 1962638510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License✔ Licensed in CA · 30755
Definition
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.
12353 IMPERIAL HWY, Norwalk, CA 90650
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Other Identifiers 3

Medicaid1512013461CA
Medicare PIN1512013461CA
Medicare UPIN1512013461

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAT WONG
Counselor (Mental Health)
12353 IMPERIAL HWY
NORWALK, CA 90650
Los Angeles County (562) 484-3385
CHRISTY PERRY
Counselor (Mental Health)
12353 IMPERIAL HWY
NORWALK, CA 90650
Los Angeles County (562) 484-3385
CARLOS MARQUEZ LVN
Licensed Vocational Nurse
12353 IMPERIAL HWY
NORWALK, CA 90650
Los Angeles County (562) 484-3385
MR. JEFFREY LYNNE TRAVERS
Case Manager/Care Coordinator
12353 IMPERIAL HWY
NORWALK, CA 90650
Los Angeles County (562) 484-3385
DR. CJ JACOBSON PSYD
Case Manager/Care Coordinator
12353 IMPERIAL HWY
NORWALK, CA 90650
Los Angeles County (562) 484-3385
MR. DAVID ADOLFO COLOMA LPT
Licensed Psychiatric Technician
12353 IMPERIAL HWY, APT. #1
NORWALK, CA 90650
Los Angeles County (562) 484-3385
ALOAH DAWN BYRUM
Counselor (Mental Health)
12353 IMPERIAL HWY
NORWALK, CA 90650
Los Angeles County (562) 484-3385
MARTIN MARIO GINGER
Counselor (Mental Health)
12353 IMPERIAL HWY
NORWALK, CA 90650
Los Angeles County (562) 484-3385

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Zollo's NPI number?

The NPI number for Kelly Zollo is 1962638510. It was assigned to this individual provider in the NPPES registry on June 9, 2009.

Where is Kelly Zollo located?

Kelly Zollo practices at 12353 Imperial Hwy, Norwalk, CA 90650. The listed phone number is (562) 484-3385.

What is Kelly Zollo's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Kelly Zollo was last updated on June 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.