Healthcare Provider Details

I. General information

NPI: 1427915016
Provider Name (Legal Business Name): HEGHINE GINA KESTENIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 N CENTRAL AVE # 490
GLENDALE CA
91202-2937
US

IV. Provider business mailing address

3123 GRANGEMONT RD
GLENDALE CA
91206-1122
US

V. Phone/Fax

Practice location:
  • Phone: 818-943-2060
  • Fax:
Mailing address:
  • Phone: 818-943-2060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHT10967
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: