Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Harutyun Vahan Ayvazyan

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1770473910

Harutyun Vahan Ayvazyan is a Nurse Practitioner in Glendale, California. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

601 N Kenwood St Unit 106
Glendale, CA 91206-2372
Phone: (818) 804-9525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6851 Lennox Ave Ste 105, Van Nuys, CA 91405-4073 — (866) 557-7924

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence PMH06250135 (CA)

Record details

NPI number1770473910
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 8, 2025
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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