Healthcare Provider Details

I. General information

NPI: 1649758996
Provider Name (Legal Business Name): ZAHRA SEYAMI DODRAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2018
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 WINWOOD AVE
PACIFICA CA
94044-1455
US

IV. Provider business mailing address

331 WINWOOD AVE
PACIFICA CA
94044-1455
US

V. Phone/Fax

Practice location:
  • Phone: 650-963-1455
  • Fax:
Mailing address:
  • Phone: 650-963-1455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number113302
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: