Healthcare Provider Details

I. General information

NPI: 1912821646
Provider Name (Legal Business Name): ANNETTE ISAKHANIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

823 E VERDUGO AVE
BURBANK CA
91501-1511
US

IV. Provider business mailing address

3618 3RD AVE
GLENDALE CA
91214-2436
US

V. Phone/Fax

Practice location:
  • Phone: 747-372-4520
  • Fax:
Mailing address:
  • Phone: 818-606-3026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95101999
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: