Provider Demographics
NPI:1003433236
Name:BABAKHANIAN, GAYANE CELINE (FNP)
Entity Type:Individual
Prefix:MS
First Name:GAYANE
Middle Name:CELINE
Last Name:BABAKHANIAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10560 PLAINVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:TUJUNGA
Mailing Address - State:CA
Mailing Address - Zip Code:91042-1718
Mailing Address - Country:US
Mailing Address - Phone:818-579-3989
Mailing Address - Fax:
Practice Address - Street 1:10560 PLAINVIEW AVE
Practice Address - Street 2:
Practice Address - City:TUJUNGA
Practice Address - State:CA
Practice Address - Zip Code:91042-1718
Practice Address - Country:US
Practice Address - Phone:818-579-3989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-03
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95014777207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine