Lida Mary Haroutunian, FNP-BC
Nurse Practitioner, Family in Pacoima, CA. Individual provider (NPI-1).
NPI number1093668840
StatusActive
Last updated in NPPESFeb 19, 2026
Details
- NPI
- 1093668840
- Entity type
- Individual (NPI-1)
- Name
- Lida Mary Haroutunian
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 19, 2026
- Certification date
- Feb 19, 2026
- Last updated
- Feb 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95038212 | CA | Yes |
Practice location
9722 Pine Orchard StPacoima, CA 91331-6905
Phone 818-640-6869
Mailing address
9722 Pine Orchard StPacoima, CA 91331-6905
Phone 818-640-6869
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