Provider Demographics
NPI:1184909061
Name:ZORGE, TAMI J (PMHNP)
Entity type:Individual
Prefix:
First Name:TAMI
Middle Name:J
Last Name:ZORGE
Suffix:
Gender:F
Credentials:PMHNP
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Other - Credentials:
Mailing Address - Street 1:14400 CHANDLER BLVD
Mailing Address - Street 2:APT 201
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-5522
Mailing Address - Country:US
Mailing Address - Phone:908-963-8123
Mailing Address - Fax:818-386-0885
Practice Address - Street 1:3831 HUGHES AVE
Practice Address - Street 2:STE 506
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-6860
Practice Address - Country:US
Practice Address - Phone:310-280-9670
Practice Address - Fax:310-280-9675
Is Sole Proprietor?:No
Enumeration Date:2011-10-11
Last Update Date:2016-02-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA95001460364SP0808X, 363LP0808X
CA750923163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health