Provider Demographics
NPI:1467606707
Name:KHEIRI, MAHNAZ ZERIMANI (MFT)
Entity Type:Individual
Prefix:MRS
First Name:MAHNAZ
Middle Name:ZERIMANI
Last Name:KHEIRI
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5060 CHIMINEAS AVE
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-4351
Mailing Address - Country:US
Mailing Address - Phone:818-926-0426
Mailing Address - Fax:
Practice Address - Street 1:18345 VENTURA BLVD STE 507
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-4245
Practice Address - Country:US
Practice Address - Phone:818-926-0426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-13
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC46367106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist