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NPI Code Detail

MEDICARE: KRISTINE SATENIK SHAHINYAN

MEDICARE: KRISTINE SATENIK SHAHINYAN
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
1363L00000XNurse Practitioner95022788CA

General Provider Information

NPI Number : 1124719083
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINE SATENIK SHAHINYAN
Provider Business Mailing Address
First Line : 15107 VANOWEN ST
Second Line :
City : VAN NUYS
State : CA
Zip : 91405-4542
Country : US
Telephone Number : 323-422-8696
Fax Number :
Provider Business Practice Location Address
First Line : 15107 VANOWEN ST
Second Line :
City : VAN NUYS
State : CA
Zip : 91405-4542
Country : US
Telephone Number : 323-422-8696
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2023
Last Update Date : 04/20/2026

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Directions to “ KRISTINE SATENIK SHAHINYAN ” Practice Location

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