Organization
DYNAMIC LIFE HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZIADDIN JAMALI MS HPE JD (ADMINISTRATOR)
(805) 526-7629
Entity
Organization
Contact information
Practice address
2315 KUEHNER DR, SUITE 121, SIMI VALLEY, CA 93063
(805) 526-7629
(805) 526-7620
Mailing address
2315 KUEHNER DR, SUITE 121, SIMI VALLEY, CA 93063
(805) 526-7629
(805) 526-7620
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ADU70292F
MEDICAL
—
Enumeration date
10/19/2006
Last updated
08/22/2020
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