My New Life
NPI #1104171768 in Tarzana, California
Provider Information
- NPI Number
- 1104171768
- Entity Type
- Organization
- Organization Name
- My New Life
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Jul 19, 2012
- Last Updated
- Jul 19, 2012
Practice Location
- Address
- 5536 TAMPA AVE
- City
- Tarzana
- State
- California
- ZIP Code
- 91356-3027
- Phone
- (818) 519-5940
Authorized Official
- Name
- FOOJAN ZEINE
- Title
- OWNER
- Phone
- (818) 648-2140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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