Healthcare Provider Details

I. General information

NPI: 1467382366
Provider Name (Legal Business Name): PIUNIK AGHAJANI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 N BEDFORD DR STE 300
BEVERLY HILLS CA
90210-4346
US

IV. Provider business mailing address

9250 SUNLAND BLVD APT 9
SUN VALLEY CA
91352-2063
US

V. Phone/Fax

Practice location:
  • Phone: 310-855-9909
  • Fax:
Mailing address:
  • Phone: 818-939-9074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberNP95034381
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: