Healthcare Provider Details

I. General information

NPI: 1598654089
Provider Name (Legal Business Name): MARINA ZAHER NAKHLA PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 10/19/2026
Certification Date: 10/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14541 DELANO ST
VAN NUYS CA
91411-2820
US

IV. Provider business mailing address

14541 DELANO ST
VAN NUYS CA
91411-2820
US

V. Phone/Fax

Practice location:
  • Phone: 877-515-8113
  • Fax:
Mailing address:
  • Phone: 877-515-8113
  • Fax: 877-538-2102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number37006
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: