MEDICARE: MR. ARSEN FERMANYAN PMHNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	95037173	CA

General Provider Information

NPI Number	:	1518829266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ARSEN FERMANYAN PMHNP-BC

Provider Business Mailing Address
First Line	:	8309 LAUREL CANYON BLVD # 307
Second Line	:
City	:	SUN VALLEY
State	:	CA
Zip	:	91352-3809
Country	:	US
Telephone Number	:	818-863-4080
Fax Number	:

Provider Business Practice Location Address
First Line	:	8309 LAUREL CANYON BLVD # 307
Second Line	:
City	:	SUN VALLEY
State	:	CA
Zip	:	91352-3809
Country	:	US
Telephone Number	:	818-863-4080
Fax Number	:

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

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	02/20/2026

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