Healthcare Provider Details

I. General information

NPI: 1396685822
Provider Name (Legal Business Name): DINA ZAKI PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 E COLORADO BLVD STE 205
PASADENA CA
91101-2028
US

IV. Provider business mailing address

2820 WAGON WHEEL RD UNIT 204
OXNARD CA
93036-1186
US

V. Phone/Fax

Practice location:
  • Phone: 626-345-1626
  • Fax:
Mailing address:
  • Phone: 323-336-0340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY33646
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: