Healthcare Provider Details

I. General information

NPI: 1316883176
Provider Name (Legal Business Name): MS. HALIMAH SONYA ZIYARMAL I
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 CONCORD AVE, SUITE #185 CONCORD , CA 94520
ELK GROVE CA
95624-6038
US

IV. Provider business mailing address

1200 CONCORD AVE, SUITE #185 CONCORD, CA 94520
ELK GROVE CA
95624-6038
US

V. Phone/Fax

Practice location:
  • Phone: 916-896-7637
  • Fax:
Mailing address:
  • Phone: 916-896-7637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: