Healthcare Provider Details

I. General information

NPI: 1194448969
Provider Name (Legal Business Name): NAZANIN JALALIAN APRN, FNP-C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2022
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7153 HELMSDALE CIR
WEST HILLS CA
91307-1342
US

IV. Provider business mailing address

5995 TOPANGA CANYON BLVD
WOODLAND HILLS CA
91367-3623
US

V. Phone/Fax

Practice location:
  • Phone: 310-779-7117
  • Fax:
Mailing address:
  • Phone: 818-888-7009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95022603
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: