Healthcare Provider Details

I. General information

NPI: 1518829266
Provider Name (Legal Business Name): ARSEN FERMANYAN PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 S CEDAR ST
GLENDALE CA
91205-1207
US

IV. Provider business mailing address

8309 LAUREL CANYON BLVD # 307
SUN VALLEY CA
91352-3809
US

V. Phone/Fax

Practice location:
  • Phone: 818-839-4010
  • Fax:
Mailing address:
  • Phone: 818-863-4080
  • Fax: 213-383-4803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95037173
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: