Healthcare Provider Details

I. General information

NPI: 1265867402
Provider Name (Legal Business Name): ZHEILA OMMANI PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2013
Last Update Date: 03/29/2023
Certification Date: 03/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 N INDIAN HILL BLVD
CLAREMONT CA
91711-4614
US

IV. Provider business mailing address

160 CASTLETON DR
CLAREMONT CA
91711-5277
US

V. Phone/Fax

Practice location:
  • Phone: 323-345-1402
  • Fax:
Mailing address:
  • Phone: 914-589-3596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSB94026663
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: