Organization Active NPI

Noalab Clinic Inc.

  • Federally Qualified Health Center (FQHC)
  • North Hollywood, CA
National Provider Identifier
1649805508
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NOALAB CLINIC INC.
Practice address
6428 Coldwater Canyon Ave
North Hollywood, CA 91606-1113
Phone
(818) 308-6440
Fax
(818) 301-2515
NPI assigned
Mar 10, 2020
Last updated
May 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lukash Abrahamyan
Title
Ceo
Phone
(818) 648-0044

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Community Health Clinic/Center 261QC1500X
Dental Clinic/Center 261QD0000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Clinical Social Worker 1041C0700X
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

6428 Coldwater Canyon Ave
North Hollywood, CA 91606-1113

Mailing address

6428 Coldwater Canyon Ave
North Hollywood, CA 91606-1113
Phone (818) 308-6440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221007001758 CA Part B Supplier - Clinic/Group Practice 8325424765 Receives reassigned benefits from 5 practitioners
Practice locations: North Hollywood, CA
O20250926003061 CA Part A Provider - Federally Qualified Health Center (FQHC) 8325424765 Practice locations: North Hollywood, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649805508. Details of each certification follow.

Federally qualified health center certification: CCN A11006

Legal name
NOALAB CLINIC INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 29, 2025
Last certification
Oct 29, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
6428 Coldwater Canyon Ave
North Hollywood, CA 91606-1113

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHIDDD

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jose L Escobar Individual Corporate DirectorBoard Member Aug 1, 2025
Emely Meza Individual Corporate DirectorVice Chair Aug 1, 2025
Suren Vardanyants Individual Corporate DirectorBoard Member Aug 1, 2025
Marina Ispiryan Individual Corporate DirectorBoard Member Aug 1, 2025
Ishkhan Avanesov Individual Corporate DirectorBoard Member Aug 1, 2025
Edgar Boryan Individual Corporate DirectorChairman Aug 1, 2025
Vardges Khachatryan Individual Corporate DirectorSecretary Aug 1, 2025
Christopher Malone Individual Corporate DirectorBoard Member Aug 1, 2025
Larisa Ge Individual Corporate DirectorBoard Member Aug 1, 2025
Siranush Yesayan Individual Corporate DirectorBoard Member Aug 1, 2025
Lukash Abrahamyan Individual Corporate OfficerCeo Aug 1, 2025
W-2 Managing EmployeeCeo Aug 1, 2025

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1649805508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6428 COLDWATER CANYON AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061113",
            "telephone_number": "818-308-6440",
            "fax_number": "818-308-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6428 COLDWATER CANYON AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061113",
            "telephone_number": "818-308-6440",
            "fax_number": "818-301-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOALAB CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "ABRAHAMYAN",
        "authorized_official_first_name": "LUKASH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-648-0044"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.