Healthcare Provider Details

I. General information

NPI: 1538073366
Provider Name (Legal Business Name): ANI KARAPETYAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1812 W BURBANK BLVD
BURBANK CA
91506-1315
US

IV. Provider business mailing address

1812 W BURBANK BLVD
BURBANK CA
91506-1315
US

V. Phone/Fax

Practice location:
  • Phone: 323-292-2898
  • Fax: 323-596-3146
Mailing address:
  • Phone: 323-292-2898
  • Fax: 323-596-3146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: