Healthcare Provider Details

I. General information

NPI: 1972899466
Provider Name (Legal Business Name): DR. ZENOBIA ROWE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2011
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 CENTINELA AVE APT 206
INGLEWOOD CA
90302-5324
US

IV. Provider business mailing address

510 CENTINELA AVE APT 206
INGLEWOOD CA
90302-5324
US

V. Phone/Fax

Practice location:
  • Phone: 310-769-0996
  • Fax:
Mailing address:
  • Phone: 310-769-0996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS27125
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberLCS27125
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: