Provider Demographics
NPI:1184770059
Name:ZIMBELMAN - L.M.F.T., LINDA (MA, LMFT)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:ZIMBELMAN - L.M.F.T.
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3611 S HARBOR BLVD
Mailing Address - Street 2:100
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-6928
Mailing Address - Country:US
Mailing Address - Phone:310-714-0295
Mailing Address - Fax:714-969-3455
Practice Address - Street 1:3611 S HARBOR BLVD
Practice Address - Street 2:100
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-6928
Practice Address - Country:US
Practice Address - Phone:310-714-0295
Practice Address - Fax:714-969-3455
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 20834106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist