LARA HOVSEPIAN-RUBY
NPI 1922749720
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since April 05, 2022PECOS Enrolled
4650 W SUNSET BLVD, LOS ANGELES, CA 90027(323) 361-4937 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lara Hovsepian-ruby NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARA HOVSEPIAN-RUBY (NPI 1922749720) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2022).

NPPES Registry Identity

NPI1922749720
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLARA HOVSEPIAN-RUBY
Location Address4650 W SUNSET BLVDLos Angeles, CA 90027-6062
Mailing Address4650 W Sunset BlvdLos Angeles, CA 90027-6062 · (323) 361-4937
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2022
Enumeration DateApril 5, 2022
NPPES CertifiedApril 5, 2022
NPI 1922749720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4650 W SUNSET BLVD, Los Angeles, CA 90027

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lara Hovsepian-ruby is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507363181
PECOS Enrollment IDI20251009000875
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
4650 W SUNSET BLVD, MS #96
LOS ANGELES, CA 90027
Pediatrics (Developmental - Behavioral Pediatrics)
4650 W SUNSET BLVD, MS#76
LOS ANGELES, CA 90027
Medical Genetics (Clinical Cytogenetics)
4650 W SUNSET BLVD, MS# 43
LOS ANGELES, CA 90027
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Pediatrics (Pediatric Gastroenterology)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Nurse Practitioner (Family)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Pediatrics
4650 W SUNSET BLVD, MAILSTOP #54
LOS ANGELES, CA 90027

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922749720, enumerated as an "individual" on April 05, 2022.

The provider is located at 4650 W SUNSET BLVD LOS ANGELES, CA 90027 and the phone number is (323) 361-4937.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.