| NPI | 1689888653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT KOSTIKIAN Owner 818-281-8091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |