Healthcare Provider Details

I. General information

NPI: 1245151596
Provider Name (Legal Business Name): ORLEE BAKHSHIZADEH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14435 HAMLIN ST STE 108
VAN NUYS CA
91401-6205
US

IV. Provider business mailing address

14435 HAMLIN ST STE 108
VAN NUYS CA
91401-6205
US

V. Phone/Fax

Practice location:
  • Phone: 818-997-7117
  • Fax: 818-997-0117
Mailing address:
  • Phone: 818-997-7117
  • Fax: 818-997-0117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number94176
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: