Provider Demographics
NPI:1619549748
Name:AZIZI, ZULYKHA (LMFT)
Entity Type:Individual
Prefix:
First Name:ZULYKHA
Middle Name:
Last Name:AZIZI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6355 DE SOTO AVE APT B415
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-2657
Mailing Address - Country:US
Mailing Address - Phone:949-300-9360
Mailing Address - Fax:
Practice Address - Street 1:21900 BURBANK BLVD FL 3
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-6469
Practice Address - Country:US
Practice Address - Phone:949-300-9360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA126920106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty