Healthcare Provider Details

I. General information

NPI: 1679402531
Provider Name (Legal Business Name): LONA AMIRKHANIAN MSN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1017 S FAIR OAKS AVE
PASADENA CA
91105-2621
US

IV. Provider business mailing address

1017 S FAIR OAKS AVE
PASADENA CA
91105-2621
US

V. Phone/Fax

Practice location:
  • Phone: 626-403-6200
  • Fax: 626-403-2580
Mailing address:
  • Phone: 626-403-6200
  • Fax: 626-403-2580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF06262252
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: