Provider Demographics
NPI:1740435460
Name:BABAYAN, HOVSEP ROBERT (DO)
Entity type:Individual
Prefix:DR
First Name:HOVSEP
Middle Name:ROBERT
Last Name:BABAYAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:550 SILVER SPUR RD STE 240
Mailing Address - Street 2:
Mailing Address - City:ROLLING HILLS ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-3612
Mailing Address - Country:US
Mailing Address - Phone:310-792-8900
Mailing Address - Fax:
Practice Address - Street 1:550 SILVER SPUR RD STE 240
Practice Address - Street 2:
Practice Address - City:ROLLING HILLS ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90275-3612
Practice Address - Country:US
Practice Address - Phone:310-792-8900
Practice Address - Fax:310-792-8907
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A10621207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine