Healthcare Provider Details

I. General information

NPI: 1487586194
Provider Name (Legal Business Name): NAERI HAKOPIAN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5950 CANOGA AVE STE 100
WOODLAND HILLS CA
91367-5052
US

IV. Provider business mailing address

5950 CANOGA AVE STE 100
WOODLAND HILLS CA
91367-5052
US

V. Phone/Fax

Practice location:
  • Phone: 818-340-7700
  • Fax:
Mailing address:
  • Phone: 818-792-0124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPSY36774
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: