MEDICARE: BAHAREH SHAKIBA-NEJAD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YS0200X	School Counselor		CA

General Provider Information

NPI Number	:	1356270607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAHAREH SHAKIBA-NEJAD

Provider Business Mailing Address
First Line	:	22450 MULHOLLAND HWY
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-5180
Country	:	US
Telephone Number	:	818-224-4107
Fax Number	:

Provider Business Practice Location Address
First Line	:	22450 MULHOLLAND HWY
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-5180
Country	:	US
Telephone Number	:	818-224-4107
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

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