Healthcare Provider Details

I. General information

NPI: 1265364988
Provider Name (Legal Business Name): ASCENSION NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12635 ALBERS ST
VALLEY VILLAGE CA
91607-1528
US

IV. Provider business mailing address

12635 ALBERS ST
VALLEY VILLAGE CA
91607-1528
US

V. Phone/Fax

Practice location:
  • Phone: 818-618-2814
  • Fax:
Mailing address:
  • Phone: 818-618-2814
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: HAMBARTSOUM MEKHARIAN
Title or Position: OWNER
Credential:
Phone: 818-618-2814