Individual provider · Type 1 NPI
Kristy Khacherian
Nurse Practitioner · Los Angeles, CA
Practice location
590 N Vermont Ave
Los Angeles, CA 90004-2115
Mailing address
14358 Cohasset St
Van Nuys, CA 91405-1428
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95037313 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1316858897
Kristy Khacherian's National Provider Identifier is 1316858897, issued on Sep 15, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 15, 2026.