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NPI Code Detail

MEDICARE: DR. MAHSA NOURI PH.D.

MEDICARE: DR. MAHSA NOURI PH.D.
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
1103TS0200XSchool Psychologist240111507CA
2103TC2200XClinical Child & Adolescent Psychologist
3101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PSB94026767OTHERCABOARD OF PSYCHOLOGY

General Provider Information

NPI Number : 1669727541
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAHSA NOURI PH.D.
Provider Business Mailing Address
First Line : 4111 LAS VIRGENES RD
Second Line :
City : CALABASAS
State : CA
Zip : 91302-1929
Country : US
Telephone Number : 818-880-4000
Fax Number :
Provider Business Practice Location Address
First Line : 4111 LAS VIRGENES RD
Second Line :
City : CALABASAS
State : CA
Zip : 91302-1929
Country : US
Telephone Number : 818-880-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2012
Last Update Date : 06/03/2026

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