Healthcare Provider Details

I. General information

NPI: 1306782016
Provider Name (Legal Business Name): DAVIT TOROSYAN RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2026
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 W CALIFORNIA AVE APT 106
GLENDALE CA
91203-2166
US

IV. Provider business mailing address

525 W CALIFORNIA AVE APT 106
GLENDALE CA
91203-2166
US

V. Phone/Fax

Practice location:
  • Phone: 747-474-1094
  • Fax:
Mailing address:
  • Phone: 747-474-1094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberRN95447792
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: