NPI 1104171768

My New Life

Organisation Exclusive Provider Organization Tarzana, CA

Practice location

Address: 5536 Tampa Ave, Tarzana, CA 91356-3027
Phone: (818) 519-5940

Authorised official

Name: Foojan Zeine
Title: Owner
Phone: (818) 648-2140

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 190724AP (CA)

Other Exclusive Provider Organization providers in California →

Registry record

NPI: 1104171768
Entity type: Organization
NPI issued: 19 Jul 2012
Record last updated: 19 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.