Organization Name: | NOVA SLEEP LAB INC |
NPI Number: | 1063772036 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRISTINA ALEKSANYAN (OFFICE MANAGER) |
Mailing Address: | 17404 Horace St Granada Hills |
State: | CA US |
Postal Code: | 91344 |
Phone Number: | 8184973476 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2012 |
NPI Last Update Date: | 10/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246ZE0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | Electroneurodiagnostic |
Taxonomy Definition: |