DREAM CENTER DIAGNOSTIC INC. (NPI# 1346785177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346785177 |
| Entity Type | Organization |
| Organization Name | DREAM CENTER DIAGNOSTIC INC. |
| Practice Address |
1480 Colorado Blvd # 135 Los Angeles CA 90041-2357 |
| Practice Telephone | 8187939411 |
| Mailing Telephone | 8187939411 |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2020-03-18 |
| NPI Deactivation Date | 12/31/2019 |
| NPI Reactivation Date | 2020-03-18 |
| Authorized Official Name | MR. AVETIS TERTERYAN (PRESIDENT) |
| Authorized Official Telephone | 8187939411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| Street Address |
1480 COLORADO BLVD # 135 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90041-2357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629502877 | Gna Diagnostic Inc. | Clinic/Center | 1480 Colorado Blvd # 135, Los Angeles, CA 90041-2357 | 2017-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994501 | Josephine Villanueva | Technician | 4433 Eagle Rock Blvd. #113, Los Angeles, CA 90041 | 2019-10-22 |
| 1457862484 | Maria Susana Espino Gonzales | Physiological Laboratory | 5264 Lockhaven Ave, Los Angeles, CA 90041 | 2017-10-17 |
| 1407366602 | Tuan H Phan | Pharmacist | 4414 Yolk Boulevard, Los Angeles, CA 90041 | 2017-10-03 |
| 1194195164 | College Vista, LLC | Skilled Nursing Facility | 4681 North Eagle Rock Blvd, Los Angeles, CA 90041 | 2015-10-02 |
| 1346640026 | Angelynn Hermes | Social Worker | 850 Colorado Blvd Ste 102, Los Angeles, CA 90041 | 2014-08-29 |
| 1205181179 | Michael E Ignacio | Dentist | 1916 W. Colorado, Los Angeles, CA 90041 | 2012-07-17 |
| 1093074999 | Marilyn Henry Murphy | Psychologist | 4368 Eagle Rock Boulevard, Los Angeles, CA 90041 | 2012-05-11 |
| 1235434911 | Mohammad Khaknegar | Dentist | 2455 Colorado Blvd., #16, Los Angeles, CA 90041 | 2011-01-11 |
| 1174844088 | Ileana Escobedo | Marriage & Family Therapist | 1551 Waldran Ave, Los Angeles, CA 90041 | 2010-06-15 |
| 1649404963 | Metro Healthcare Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 4515 Eagle Rock Blvd., Ste 111-c, Los Angeles, CA 90041 | 2009-05-14 |
| Find all providers in zip 90041 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407329766 | Lucidite Sleep Laboratory & Treatment Center Inc | Clinic/Center | 231 W Vernon Ave. Suite 108, Los Angeles, CA 90037 | 2019-01-09 |
| 1467804245 | Advanced Sleep Medicine Services, Inc. | Clinic/Center | 11500 W Olympic Blvd Ste 555, Los Angeles, CA 90064-1524 | 2016-07-06 |
| 1437596327 | Natasha Nasha Andrews | Clinic/Center | 1620 E. 83rd Street, Los Angeles, CA 90001 | 2013-05-31 |
| 1982992236 | Modern Sleep Centers LLC | Clinic/Center | 6320a Wilshire Blvd 1125, Los Angeles, CA 90048 | 2011-07-20 |
| 1275821605 | Bay Sleep Centers LLC | Clinic/Center | 6320a Wilshire Blvd 18, Los Angeles, CA 90048 | 2011-07-19 |
| 1629366059 | California Sleep Centers LLC | Clinic/Center | 6320a Wilshire Blvd 25, Los Angeles, CA 90048 | 2011-07-19 |
| 1356639785 | Coastal Sleep Centers LLC | Clinic/Center | 6320a Wilshire Blvd 235, Los Angeles, CA 90048 | 2011-07-19 |
| 1073801403 | Sueno Sleep Centers LLC | Clinic/Center | 6320a Wilshire Blvd 244, Los Angeles, CA 90048 | 2011-07-19 |
| 1619265048 | Socal Sleep Centers LLC | Clinic/Center | 6320a Wislhire Blvd 1114, Los Angeles, CA 90048 | 2011-07-19 |
| 1396905790 | Sleep Monitoring, Inc | Clinic/Center | 12041 Wilshire Blvd Ste 20, Los Angeles, CA 90025-1204 | 2008-06-10 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90041 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.