Pro Wellness Diagnostic Services

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

License

G15628 Issued in CA

Legal business name

PRO WELLNESS DIAGNOSTIC SERVICES

Practice address

11239 Ventura Blvd
215
Studio City, CA 91604-3163

Phone

(818) 508-6888

Fax

(818) 508-6778

NPI assigned

Sep 2, 2009

Last updated

Sep 2, 2009By 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

Mr. Artak Martikian

Title

Ceo/President

Phone

(818) 508-6888

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Walter Jekot, M.D.

  • Specialist
  • Los Angeles, CA
  • NPI 1093752941
  NPD (past)
• Whan Sil Kim, M.D.

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1194891887
  NPD (past)

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1841423159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5998",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912215998",
            "telephone_number": "818-508-6888",
            "fax_number": "818-508-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11239 VENTURA BLVD",
            "address_2": "215",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916043163",
            "telephone_number": "818-508-6888",
            "fax_number": "818-508-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO WELLNESS DIAGNOSTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "MARTIKIAN",
        "authorized_official_first_name": "ARTAK",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "818-508-6888",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "G15628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alexis Anne Prescott, MFT INTERM
• Lesli J Preuss, PHD
• Erika Priestley, MD
• Amanda Probst, RD
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• Psyclarity Health Inc
• Cheryl Purdue, MFT
• Joseph Tieu Quach, PHARMD

• Sleep Medicine (Internal Medicine) Physician in Studio City, CA
• Providers in Studio City, CA by specialty
• Sleep Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.