Individual ProviderKatya Ani HanessianStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address3800 W Chapman Ave Ste 7200, Orange, CA 92868-1623(888) 268-1108PECOS EnrollmentBased on the most recent information from CMS, provider Katya Ani Hanessian does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1063364040Provider TypeIndividualFull NameHanessian, Katya AniGenderFemaleSole ProprietorYesEnumeration Date2/11/2026Last Updated2/11/2026Contact InformationPractice LocationPractice Address3800 W Chapman Ave Ste 7200, Orange, CA 92868-1623Phone(888) 268-1108FaxUnlisted FaxMailing LocationMailing Address19 Sailcrest, Newport Coast, CA 92657-1800PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerCalifornia