Healthcare Provider Details

I. General information

NPI: 1871449678
Provider Name (Legal Business Name): MAIGAN FRIEDMAN PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

19722 COLLIER ST
WOODLAND HILLS CA
91364-3618
US

IV. Provider business mailing address

5749 OSTIN AVE
WOODLAND HILLS CA
91367-3955
US

V. Phone/Fax

Practice location:
  • Phone: 818-605-2025
  • Fax:
Mailing address:
  • Phone: 818-605-2025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: