Provider Demographics
NPI:1578321089
Name:TSATURYAN, HOVHANNES (NP)
Entity Type:Individual
Prefix:
First Name:HOVHANNES
Middle Name:
Last Name:TSATURYAN
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12343 SHELDON ST
Mailing Address - Street 2:
Mailing Address - City:SUN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91352-2435
Mailing Address - Country:US
Mailing Address - Phone:818-263-9294
Mailing Address - Fax:
Practice Address - Street 1:1131 W 6TH ST STE 250
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91762-1108
Practice Address - Country:US
Practice Address - Phone:833-362-7837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAF12230528363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner