Healthcare Provider Details

I. General information

NPI: 1619020278
Provider Name (Legal Business Name): ZUSMAN & ROSENFELD PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15720 VENTURA BLVD SUITE #602A
ENCINO CA
91436-2914
US

IV. Provider business mailing address

15720 VENTURA BLVD SUITE #602A
ENCINO CA
91436-2914
US

V. Phone/Fax

Practice location:
  • Phone: 818-986-4656
  • Fax: 818-986-0559
Mailing address:
  • Phone: 818-986-4656
  • Fax: 818-986-0559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY4474
License Number StateCA

VIII. Authorized Official

Name: DR. STEPHAN S. ZUSMAN
Title or Position: GENERAL PARTNER
Credential: PH.D.
Phone: 818-986-4656