Cristal Diagnostic Service, Inc

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

CRISTAL DIAGNOSTIC SERVICE, INC

Practice address

7017 Van Nuys Blvd
#3
Van Nuys, CA 91405-3095

Phone

(818) 988-8225

Fax

(818) 988-8224

NPI assigned

May 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Samvel Abrahamyan

Title

Owner

Phone

(818) 988-8225

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366497208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7017 VAN NUYS BLVD",
            "address_2": "#3",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053095",
            "telephone_number": "818-988-8225",
            "fax_number": "818-988-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7017 VAN NUYS BLVD",
            "address_2": "#3",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053095",
            "telephone_number": "818-988-8225",
            "fax_number": "818-988-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISTAL DIAGNOSTIC SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABRAHAMYAN",
        "authorized_official_first_name": "SAMVEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-988-8225",
        "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": []
}

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• Sleep Disorder Diagnostic Clinic/Center in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Sleep Disorder Diagnostic Clinic/Center 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.