Provider Demographics
NPI:1326832080
Name:BAGHDANIAN, KARINE
Entity type:Individual
Prefix:
First Name:KARINE
Middle Name:
Last Name:BAGHDANIAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 W OLIVE AVE
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-2427
Mailing Address - Country:US
Mailing Address - Phone:818-821-3535
Mailing Address - Fax:818-821-3536
Practice Address - Street 1:1411 W OLIVE AVE
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-2427
Practice Address - Country:US
Practice Address - Phone:818-821-3535
Practice Address - Fax:818-821-3536
Is Sole Proprietor?:No
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95033111363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care