Provider Demographics
NPI:1679456339
Name:OHANJANYAN, ANI (NP)
Entity type:Individual
Prefix:
First Name:ANI
Middle Name:
Last Name:OHANJANYAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24071 CORTE LA BROCHA
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91354-4004
Mailing Address - Country:US
Mailing Address - Phone:818-422-9751
Mailing Address - Fax:
Practice Address - Street 1:24071 CORTE LA BROCHA
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91354-4004
Practice Address - Country:US
Practice Address - Phone:818-422-9751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95034370363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily