MEDICARE: ANDRANIK ALAVERDYAN PMHNP

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	95037699	CA

General Provider Information

NPI Number	:	1851254270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDRANIK ALAVERDYAN PMHNP

Provider Business Mailing Address
First Line	:	9350 WILSHIRE BLVD STE 203
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90212-3204
Country	:	US
Telephone Number	:	310-304-0818
Fax Number	:	310-304-1179

Provider Business Practice Location Address
First Line	:	9350 WILSHIRE BLVD STE 203
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90212-3204
Country	:	US
Telephone Number	:	310-304-0818
Fax Number	:	310-304-1179

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

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	03/04/2026

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