MEDICARE: ASAL HOUSHIARNEJAD PSYCHOLOGY GROUP-PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103TC0700X	Clinical Psychologist
2	103TB0200X	Cognitive & Behavioral Psychologist
3	103TC2200X	Clinical Child & Adolescent Psychologist
4	103G00000X	Clinical Neuropsychologist

General Provider Information

NPI Number	:	1043996267
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASAL HOUSHIARNEJAD PSYCHOLOGY GROUP-PC

Provider Business Mailing Address
First Line	:	23632 CALABASAS RD STE 201
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-1737
Country	:	US
Telephone Number	:	424-209-4345
Fax Number	:

Provider Business Practice Location Address
First Line	:	23632 CALABASAS RD STE 201
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-1737
Country	:	US
Telephone Number	:	424-209-4345
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL NEUROPSYCHOLOGIST
Name	:	DR. ASAL HOUSHIARNEJAD
Credential	:	PSYD
Telephone Number	:	424-209-4345

Provider Enumeration Date	:	06/22/2023
Last Update Date	:	12/09/2025

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