Healthcare Provider Details

I. General information

NPI: 1174459143
Provider Name (Legal Business Name): RAVREET KAUR CHEEMA PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2828 COCHRAN ST # 139
SIMI VALLEY CA
93065-2780
US

IV. Provider business mailing address

2828 COCHRAN ST # 139
SIMI VALLEY CA
93065-2780
US

V. Phone/Fax

Practice location:
  • Phone: 818-575-6201
  • Fax:
Mailing address:
  • Phone: 818-575-6201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number36793
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: