Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Manuel Zepeda Jr., R1588151124

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1285442194

Manuel Zepeda Jr., R1588151124 is an Addiction (Substance Use Disorder) Counselor in Azusa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

23701 E East Fork Rd
Azusa, CA 91702-1477
Phone: (626) 910-1202
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence R1588151124 (CA)

Record details

NPI number1285442194
Entity typeIndividual (Type 1)
GenderMale
Credentials R1588151124
Sole proprietorYes
NPI enumeratedDecember 23, 2024
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025

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