Healthcare Provider Details

I. General information

NPI: 1396930897
Provider Name (Legal Business Name): LORI ZAREMSKI PH. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2007
Last Update Date: 01/28/2021
Certification Date: 01/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 S PACIFIC COAST HWY STE 310
REDONDO BEACH CA
90277-5620
US

IV. Provider business mailing address

1650 S PACIFIC COAST HWY STE 310
REDONDO BEACH CA
90277-5620
US

V. Phone/Fax

Practice location:
  • Phone: 310-374-1221
  • Fax: 310-214-0648
Mailing address:
  • Phone: 310-374-1221
  • Fax: 310-214-0648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPSY15101
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: