Healthcare Provider Details

I. General information

NPI: 1386548931
Provider Name (Legal Business Name): RUZANNA PAPYAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 E BROADWAY STE 1
GLENDALE CA
91205-4552
US

IV. Provider business mailing address

12936 WINTHROP AVE
GRANADA HILLS CA
91344-1223
US

V. Phone/Fax

Practice location:
  • Phone: 323-528-5063
  • Fax: 818-217-4952
Mailing address:
  • Phone: 323-528-5063
  • Fax: 818-217-4952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number709989
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: