Healthcare Provider Details

I. General information

NPI: 1982533188
Provider Name (Legal Business Name): SIMA KAZIMI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14546 BENEFIT ST UNIT 4
SHERMAN OAKS CA
91403-3744
US

IV. Provider business mailing address

PO BOX 57594
SHERMAN OAKS CA
91413-2594
US

V. Phone/Fax

Practice location:
  • Phone: 818-284-8340
  • Fax:
Mailing address:
  • Phone: 818-284-8340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY36678
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: