Healthcare Provider Details

I. General information

NPI: 1265375018
Provider Name (Legal Business Name): ANNA GEVORGYAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7590 N GLENOAKS BLVD STE 17
BURBANK CA
91504-1003
US

IV. Provider business mailing address

7590 N GLENOAKS BLVD STE 17
BURBANK CA
91504-1003
US

V. Phone/Fax

Practice location:
  • Phone: 818-641-1306
  • Fax: 818-230-2974
Mailing address:
  • Phone: 818-641-1306
  • Fax: 818-230-2974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: