Healthcare Provider Details

I. General information

NPI: 1235866013
Provider Name (Legal Business Name): ANAHIT HAKOBYAN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2022
Last Update Date: 08/02/2022
Certification Date: 08/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8337 LAUREL CANYON BLVD
SUN VALLEY CA
91352-3809
US

IV. Provider business mailing address

7058 LONGRIDGE AVE
NORTH HOLLYWOOD CA
91605-4641
US

V. Phone/Fax

Practice location:
  • Phone: 818-504-8499
  • Fax:
Mailing address:
  • Phone: 818-929-1093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95021207
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: