Provider Demographics
NPI:1053137620
Name:NOROOZI, ZHILA
Entity type:Individual
Prefix:MS
First Name:ZHILA
Middle Name:
Last Name:NOROOZI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1895 SHERINGTON PL # TS312
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-6059
Mailing Address - Country:US
Mailing Address - Phone:424-333-6818
Mailing Address - Fax:
Practice Address - Street 1:1895 SHERINGTON PL # TS312
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-6059
Practice Address - Country:US
Practice Address - Phone:424-333-6818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-28
Last Update Date:2024-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA746688164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse