Healthcare Provider Details

I. General information

NPI: 1629857255
Provider Name (Legal Business Name): BEAINY YEVA NATEFKA OHANIAN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BEAINY MINAS

II. Dates (important events)

Enumeration Date: 09/25/2023
Last Update Date: 03/02/2025
Certification Date: 03/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1713 E WALNUT ST
PASADENA CA
91106-1611
US

IV. Provider business mailing address

9631 WHEATLAND AVE
SUNLAND CA
91040-1427
US

V. Phone/Fax

Practice location:
  • Phone: 626-696-3607
  • Fax:
Mailing address:
  • Phone: 818-572-7585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95027010
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: