Most Relevant Information
Provider Data
| NPI Number: | 1003353723 |
| Provider Name: | LUIZA KRISTINA GEVSHANYAN NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 767212 |
Most Important Dates
| Enumeration Date: | 01/20/2017 |
| Last Updated: | 01/26/2017 |
Provider Practice Location
7033 MATILIJA AVE
VAN NUYS
CA
914053332
Practice Location Phone/Fax
| Phone: | 3233272302 |
| Fax: |
Provider Mailing Location
7033 MATILIJA AVE
VAN NUYS
CA
91405
Provider Mailing Phone/Fax
| Phone: | 3233272302 |
| Fax: |