Provider Demographics
NPI:1316469729
Name:MATINYAN, ANAID
Entity type:Individual
Prefix:
First Name:ANAID
Middle Name:
Last Name:MATINYAN
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 1:17620 SHERMAN WAY STE 214
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-3527
Mailing Address - Country:US
Mailing Address - Phone:818-666-0880
Mailing Address - Fax:818-666-0880
Practice Address - Street 1:17620 SHERMAN WAY STE 214
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-3527
Practice Address - Country:US
Practice Address - Phone:818-666-0880
Practice Address - Fax:818-666-0880
Is Sole Proprietor?:No
Enumeration Date:2017-07-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA788330163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health