=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437013497
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | VANIA NAVASARTIAN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/15/2025
-----------------------------------------------------
Last Update Date | 12/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9301 WILSHIRE BLVD STE 401
-----------------------------------------------------
City | BEVERLY HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90210-6133
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-274-3481
-----------------------------------------------------
Fax | 310-274-3482
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14640 DAISY MEADOW ST
-----------------------------------------------------
City | CANYON COUNTRY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91387-1910
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-658-0565
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 95213246
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------