NPIMap

Organization Active NPI

Dream Center Diagnostic Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1346785177
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
DREAM CENTER DIAGNOSTIC INC.
Practice address
1480 Colorado Blvd # 135
Los Angeles, CA 90041-2357
Phone
(818) 793-9411
NPI assigned
Jan 3, 2017
Reactivated
Mar 18, 2020
Last updated
Mar 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Authorized official

Name
Mr. Avetis Terteryan
Title
President
Phone
(818) 793-9411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

1480 Colorado Blvd # 135
Los Angeles, CA 90041-2357

Mailing address

1480 Colorado Blvd # 135
Los Angeles, CA 90041-2357
Phone (818) 793-9411

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1346785177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 COLORADO BLVD # 135",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412357",
            "telephone_number": "818-793-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 COLORADO BLVD # 135",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412357",
            "telephone_number": "818-793-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM CENTER DIAGNOSTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "deactivation_date": "2019-12-31",
        "reactivation_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "TERTERYAN",
        "authorized_official_first_name": "AVETIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-793-9411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.