Provider Demographics
NPI:1568821148
Name:OHANIAN, NVARD
Entity Type:Individual
Prefix:
First Name:NVARD
Middle Name:
Last Name:OHANIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10523 BURBANK BLVD
Mailing Address - Street 2:STE 110
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-2233
Mailing Address - Country:US
Mailing Address - Phone:818-200-1712
Mailing Address - Fax:818-301-5002
Practice Address - Street 1:10523 BURBANK BLVD
Practice Address - Street 2:STE 110
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-2234
Practice Address - Country:US
Practice Address - Phone:818-200-1712
Practice Address - Fax:818-301-5002
Is Sole Proprietor?:No
Enumeration Date:2016-02-11
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA590453163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA811407378OtherTAX ID