Healthcare Provider Details

I. General information

NPI: 1285589671
Provider Name (Legal Business Name): NORA CLAUDIA HACIKIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 S RODEO DR STE 200
BEVERLY HILLS CA
90212-2440
US

IV. Provider business mailing address

15827 BEAVER RUN RD
CANYON COUNTRY CA
91387-4004
US

V. Phone/Fax

Practice location:
  • Phone: 310-584-9990
  • Fax:
Mailing address:
  • Phone: 818-326-9945
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95033382
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: