Supersoung Diagnostics Inc

Primary specialty

Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X

License

80971 Issued in CA

Legal business name

SUPERSOUNG DIAGNOSTICS INC

Practice address

11755 Victory Blvd
240
N Hollywood, CA 91606-3423

Phone

(818) 205-9666

NPI assigned

May 9, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Norair Avetisian

Title

Ceo

Phone

(818) 205-9666

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225087976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11755 VICTORY BLVD",
            "address_2": "240",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063423",
            "telephone_number": "818-205-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11755 VICTORY BLVD",
            "address_2": "240",
            "city": "N HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063423",
            "telephone_number": "818-205-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERSOUNG DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AVETISIAN",
        "authorized_official_first_name": "NORAIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-205-9666"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "CA",
            "license": "80971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sonography Specialist/Technologist Cardiovascular in N Hollywood, CA
• Providers in N Hollywood, CA by specialty
• Sonography Specialist/Technologist Cardiovascular in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.