Healthcare Provider Details

I. General information

NPI: 1831558899
Provider Name (Legal Business Name): DR. LORI ZAREMSKI, PHD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2016
Last Update Date: 02/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 N SEPULVEDA BLVD #204
MANHATTAN BEACH CA
90266-6746
US

IV. Provider business mailing address

509 N SEPULVEDA BLVD #204
MANHATTAN BEACH CA
90266-6746
US

V. Phone/Fax

Practice location:
  • Phone: 310-374-1221
  • Fax:
Mailing address:
  • Phone: 310-374-1221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPSY 15101
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY 15101
License Number StateCA

VIII. Authorized Official

Name: DR. LORI ZAREMSKI
Title or Position: LICENSED PSYCHOLOGIST
Credential: PHD
Phone: 310-374-1221