Healthcare Provider Details

I. General information

NPI: 1639909120
Provider Name (Legal Business Name): HALEEMAH ZULALI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2024
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2790 SKYPARK DR STE 301
TORRANCE CA
90505-5388
US

IV. Provider business mailing address

2790 SKYPARK DR STE 302
TORRANCE CA
90505-5388
US

V. Phone/Fax

Practice location:
  • Phone: 619-268-1221
  • Fax:
Mailing address:
  • Phone: 619-268-1221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number119290
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: