Healthcare Provider Details

I. General information

NPI: 1043996267
Provider Name (Legal Business Name): ASAL HOUSHIARNEJAD PSYCHOLOGY GROUP-PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2023
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23632 CALABASAS RD STE 201
CALABASAS CA
91302-1737
US

IV. Provider business mailing address

23632 CALABASAS RD STE 201
CALABASAS CA
91302-1737
US

V. Phone/Fax

Practice location:
  • Phone: 424-209-4345
  • Fax:
Mailing address:
  • Phone: 424-209-4345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ASAL HOUSHIARNEJAD
Title or Position: CLINICAL NEUROPSYCHOLOGIST
Credential: PSYD
Phone: 424-209-4345