Provider Demographics
NPI:1851254270
Name:ALAVERDYAN, ANDRANIK (PMHNP)
Entity type:Individual
Prefix:
First Name:ANDRANIK
Middle Name:
Last Name:ALAVERDYAN
Suffix:
Gender:M
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5130 KLUMP AVE # K710
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-5048
Mailing Address - Country:US
Mailing Address - Phone:818-618-6229
Mailing Address - Fax:
Practice Address - Street 1:5130 KLUMP AVE # K710
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-5048
Practice Address - Country:US
Practice Address - Phone:818-618-6229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-03
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95037699363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty