Provider Demographics
NPI:1356920219
Name:DAVIDIAN, CHRISTINA ANNA
Entity type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:ANNA
Last Name:DAVIDIAN
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 1:1711 EL RITO AVE APT C
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-2300
Mailing Address - Country:US
Mailing Address - Phone:818-641-4053
Mailing Address - Fax:
Practice Address - Street 1:3413 W PACIFIC AVE STE 102
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-1598
Practice Address - Country:US
Practice Address - Phone:818-953-4408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-06
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant