Healthcare Provider Details

I. General information

NPI: 1396686580
Provider Name (Legal Business Name): LILIT YESAYAN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2318 W BURBANK BLVD
BURBANK CA
91506-1236
US

IV. Provider business mailing address

345 PIONEER DR UNIT 901W
GLENDALE CA
91203-2742
US

V. Phone/Fax

Practice location:
  • Phone: 818-353-0600
  • Fax:
Mailing address:
  • Phone: 818-419-9306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95039132
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: