Provider Demographics
NPI:1083429039
Name:HOVSEPIAN, LEONAR (FNP)
Entity type:Individual
Prefix:
First Name:LEONAR
Middle Name:
Last Name:HOVSEPIAN
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 N ORANGE ST STE G
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-2655
Mailing Address - Country:US
Mailing Address - Phone:818-855-1573
Mailing Address - Fax:818-855-1509
Practice Address - Street 1:213 N ORANGE ST STE G
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-2655
Practice Address - Country:US
Practice Address - Phone:818-855-1573
Practice Address - Fax:818-855-1509
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95027870363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily