Healthcare Provider Details

I. General information

NPI: 1083464994
Provider Name (Legal Business Name): LA INTEGRATIVE NURSING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2024
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1612 W OLIVE AVE STE 200
BURBANK CA
91506-2462
US

IV. Provider business mailing address

1612 W OLIVE AVE STE 200
BURBANK CA
91506-2462
US

V. Phone/Fax

Practice location:
  • Phone: 747-777-7047
  • Fax:
Mailing address:
  • Phone: 747-777-7047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. KNARIK OGANESYAN
Title or Position: CEO & PRESIDENT
Credential:
Phone: 747-777-7047