Healthcare Provider Details

I. General information

NPI: 1437013497
Provider Name (Legal Business Name): VANIA NAVASARTIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9301 WILSHIRE BLVD STE 401
BEVERLY HILLS CA
90210-6133
US

IV. Provider business mailing address

14640 DAISY MEADOW ST
CANYON COUNTRY CA
91387-1910
US

V. Phone/Fax

Practice location:
  • Phone: 310-274-3481
  • Fax: 310-274-3482
Mailing address:
  • Phone: 818-658-0565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95213246
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: