Healthcare Provider Details

I. General information

NPI: 1619835691
Provider Name (Legal Business Name): NARINE SAAKYAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 N BRAND BLVD STE 726
GLENDALE CA
91203-4476
US

IV. Provider business mailing address

401 N BRAND BLVD STE 726
GLENDALE CA
91203-4476
US

V. Phone/Fax

Practice location:
  • Phone: 747-297-2020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95036042
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: