Provider Demographics
NPI:1669334140
Name:MOEINAZAD, MAHNAZ (PPS - CWA)
Entity type:Individual
Prefix:
First Name:MAHNAZ
Middle Name:
Last Name:MOEINAZAD
Suffix:
Gender:F
Credentials:PPS - CWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10045 JUMILLA AVE
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-3507
Mailing Address - Country:US
Mailing Address - Phone:818-350-5000
Mailing Address - Fax:818-359-5007
Practice Address - Street 1:10045 JUMILLA AVE
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-3507
Practice Address - Country:US
Practice Address - Phone:818-350-5000
Practice Address - Fax:818-359-5007
Is Sole Proprietor?:No
Enumeration Date:2025-12-02
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor