Provider Demographics
NPI:1023133006
Name:OREN, ZECHARIA EMANUEL (PHD)
Entity type:Individual
Prefix:
First Name:ZECHARIA
Middle Name:EMANUEL
Last Name:OREN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4325 GLENCOE AVE # 9651
Mailing Address - Street 2:
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-9991
Mailing Address - Country:US
Mailing Address - Phone:310-808-4510
Mailing Address - Fax:
Practice Address - Street 1:1137 2ND ST STE 201
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-5086
Practice Address - Country:US
Practice Address - Phone:310-808-4510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY11825103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical