Healthcare Provider Details

I. General information

NPI: 1477464600
Provider Name (Legal Business Name): LUSINE TSATURYAN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N BRAND BLVD STE 612
GLENDALE CA
91203-4214
US

IV. Provider business mailing address

12278 WOODLEY AVE
GRANADA HILLS CA
91344-2847
US

V. Phone/Fax

Practice location:
  • Phone: 818-923-9293
  • Fax:
Mailing address:
  • Phone: 818-239-9293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95038215
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: