Healthcare Provider Details

I. General information

NPI: 1073301073
Provider Name (Legal Business Name): DANIELLE ZIDE PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2025
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 S MILLS RD
VENTURA CA
93003-3487
US

IV. Provider business mailing address

100 S MILLS RD
VENTURA CA
93003-3487
US

V. Phone/Fax

Practice location:
  • Phone: 805-289-7900
  • Fax: 805-289-7900
Mailing address:
  • Phone: 805-289-7900
  • Fax: 805-289-7900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: