Healthcare Provider Details

I. General information

NPI: 1619894896
Provider Name (Legal Business Name): HEALING INNOVATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13848 VENTURA BLVD STE B
SHERMAN OAKS CA
91423-3654
US

IV. Provider business mailing address

13848 VENTURA BLVD STE B
SHERMAN OAKS CA
91423-3654
US

V. Phone/Fax

Practice location:
  • Phone: 818-624-2025
  • Fax:
Mailing address:
  • Phone: 818-624-2025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KRISTINA KHACHUNTS
Title or Position: OWNER
Credential:
Phone: 818-624-2025