Provider Demographics
NPI:1962843953
Name:DOSHI, ZIVA (LCSW, OSW-C)
Entity Type:Individual
Prefix:
First Name:ZIVA
Middle Name:
Last Name:DOSHI
Suffix:
Gender:F
Credentials:LCSW, OSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6545
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92863-6545
Mailing Address - Country:US
Mailing Address - Phone:424-625-8783
Mailing Address - Fax:
Practice Address - Street 1:12300 WILSHIRE BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-1020
Practice Address - Country:US
Practice Address - Phone:424-625-8783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP89183104100000X
CA735601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial Worker