Healthcare Provider Details

I. General information

NPI: 1497681423
Provider Name (Legal Business Name): HEDIEH NAJAFI
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5737 KANAN RD # 283
AGOURA HILLS CA
91301-1601
US

IV. Provider business mailing address

5737 KANAN RD # 283
AGOURA HILLS CA
91301-1601
US

V. Phone/Fax

Practice location:
  • Phone: 424-235-3799
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95039448
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: