Healthcare Provider Details

I. General information

NPI: 1831829183
Provider Name (Legal Business Name): MALEEHA NAQVI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2022
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

947 N LA CIENEGA BLVD STE H
LOS ANGELES CA
90069-4700
US

IV. Provider business mailing address

221 WESTWOOD PLAZA
LOS ANGELES CA
90095-0001
US

V. Phone/Fax

Practice location:
  • Phone: 213-357-1496
  • Fax:
Mailing address:
  • Phone: 310-825-0768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number35823
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: