Healthcare Provider Details

I. General information

NPI: 1790691590
Provider Name (Legal Business Name): NOVACORE DIAGNOSTICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8133 SAN FERNANDO RD STE 3
SUN VALLEY CA
91352-4064
US

IV. Provider business mailing address

8133 SAN FERNANDO RD STE 3
SUN VALLEY CA
91352-4064
US

V. Phone/Fax

Practice location:
  • Phone: 323-744-5820
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: SPARTAK HOVHANNISYAN
Title or Position: CEO
Credential:
Phone: 323-744-5820