Healthcare Provider Details

I. General information

NPI: 1013065630
Provider Name (Legal Business Name): FLORA ZOMORODI PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9777 WILSHIRE BLVD STE 400
BEVERLY HILLS CA
90212-1910
US

IV. Provider business mailing address

9777 WILSHIRE BLVD STE 400
BEVERLY HILLS CA
90212-1910
US

V. Phone/Fax

Practice location:
  • Phone: 310-659-6445
  • Fax: 310-861-5060
Mailing address:
  • Phone: 310-659-6445
  • Fax: 310-861-5060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT22011
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number22011
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: