Healthcare Provider Details

I. General information

NPI: 1437607041
Provider Name (Legal Business Name): ANAHITA BEHMARDIAN N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2016
Last Update Date: 11/12/2021
Certification Date: 10/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 LINDEN AVE
LONG BEACH CA
90813-3321
US

IV. Provider business mailing address

12401 WASHINGTON BLVD
WHITTIER CA
90602
US

V. Phone/Fax

Practice location:
  • Phone: 562-491-9090
  • Fax: 562-491-7986
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP95004048
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number778639
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: