Organization Active NPI

My New Life

  • Exclusive Provider Organization
  • Tarzana, CA
National Provider Identifier
1104171768
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
190724AP Issued in CA
Legal business name
MY NEW LIFE
Practice address
5536 Tampa Ave
Tarzana, CA 91356-3027
Phone
(818) 519-5940
NPI assigned
Jul 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Foojan ZeineNPI 1679508261
Title
Owner
Phone
(818) 648-2140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 190724AP CA Primary

Addresses

Primary practice location

5536 Tampa Ave
Tarzana, CA 91356-3027

Mailing address

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

Other names 1

  • My New Life Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1104171768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5536 TAMPA AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563027",
            "telephone_number": "818-519-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5536 TAMPA AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563027",
            "telephone_number": "818-519-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY NEW LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "ZEINE",
        "authorized_official_first_name": "FOOJAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-648-2140"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "190724AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My New Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.