Organization Name: | VES DIGNOSTIC INC |
NPI Number: | 1043399256 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VARDGES EGIAZARIAN (PROVIDER) |
Mailing Address: | 14621 Titus St Ste 128 Panorama City |
State: | CA US |
Postal Code: | 914027304 |
Phone Number: | 8186066795 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |