Provider Demographics
NPI:1790579480
Name:NOVINNI, ZOREH
Entity type:Individual
Prefix:
First Name:ZOREH
Middle Name:
Last Name:NOVINNI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6555 BALBOA AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-3110
Mailing Address - Country:US
Mailing Address - Phone:619-629-0172
Mailing Address - Fax:
Practice Address - Street 1:6555 BALBOA AVE STE 208
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-3110
Practice Address - Country:US
Practice Address - Phone:619-629-0172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator