Active NPI
My New Life
- Exclusive Provider Organization
- Tarzana, CA
National Provider Identifier
1104171768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- 190724AP
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Foojan Zeine
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- San Clemente, CA
- NPI 1679508261
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.