Healthcare Provider Details

I. General information

NPI: 1164348967
Provider Name (Legal Business Name): NEEKA YASMIN ELZEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NEEKA YASMIN RAZBAN

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23151 VERDUGO DR STE 201
LAGUNA HILLS CA
92653-1343
US

IV. Provider business mailing address

2600 NEWPORT BLVD STE 114
NEWPORT BEACH CA
92663-3745
US

V. Phone/Fax

Practice location:
  • Phone: 949-873-3171
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number135545
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: