Healthcare Provider Details

I. General information

NPI: 1477427367
Provider Name (Legal Business Name): ANI TSATINYAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2025
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7032 MURIETTA AVE
VAN NUYS CA
91405-3316
US

IV. Provider business mailing address

7032 MURIETTA AVE
VAN NUYS CA
91405-3316
US

V. Phone/Fax

Practice location:
  • Phone: 818-926-0152
  • Fax:
Mailing address:
  • Phone: 818-926-0152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95037167
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: