Healthcare Provider Details

I. General information

NPI: 1205086824
Provider Name (Legal Business Name): ARMINE STEPANYAN ZAMBRE PH.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2008
Last Update Date: 04/30/2024
Certification Date: 04/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10605 BALBOA BLVD STE 100
GRANADA HILLS CA
91344-6367
US

IV. Provider business mailing address

10605 BALBOA BLVD STE 100
GRANADA HILLS CA
91344-6367
US

V. Phone/Fax

Practice location:
  • Phone: 818-832-2400
  • Fax:
Mailing address:
  • Phone: 818-832-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number35021
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number89760
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: