Healthcare Provider Details

I. General information

NPI: 1487375697
Provider Name (Legal Business Name): HARUTYUN ABRAMYAN DNP, PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2022
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 N CENTRAL AVE FL 17
GLENDALE CA
91203-1439
US

IV. Provider business mailing address

655 N CENTRAL AVE FL 17
GLENDALE CA
91203-1439
US

V. Phone/Fax

Practice location:
  • Phone: 818-399-9244
  • Fax:
Mailing address:
  • Phone: 818-936-6200
  • Fax: 818-936-6215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95023370
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: