Individual
MARGARITA MAGHTESYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2001 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2102
(310) 301-7396
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95015370
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202002597
ANCC
CA
01
—
NPF95015370
NP LICENSE
CA
01
—
RN736598
BOARD OF REGISTERED NURSING
CA
Enumeration date
10/05/2020
Last updated
10/05/2023
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