MEDICARE: OVSANNA ARAKELYAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	95036721	CA

General Provider Information

NPI Number	:	1114897030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OVSANNA ARAKELYAN

Provider Business Mailing Address
First Line	:	14611 LEADWELL ST
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91405-1908
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	29219 CANWOOD ST
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-1560
Country	:	US
Telephone Number	:	818-469-0066
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2025
Last Update Date	:	11/06/2025

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Directions to “ OVSANNA ARAKELYAN ” Practice Location

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