Organization Active NPI

Victory Sleep Center Inc

  • Sleep Medicine (Family Medicine) Physician
  • North Hollywood, CA
National Provider Identifier
1952158552
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
Legal business name
VICTORY SLEEP CENTER INC
Practice address
12444 Victory Blvd # 407
North Hollywood, CA 91606-3199
Phone
(747) 366-9993
NPI assigned
May 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Hadis Midhat Handukic
Title
Ceo
Phone
(747) 366-9993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS1201X Primary

Addresses

Primary practice location

12444 Victory Blvd # 407
North Hollywood, CA 91606-3199

Mailing address

12444 Victory Blvd # 407
North Hollywood, CA 91606-3199
Phone (747) 366-9993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240722003809 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 3577009901 Practice locations: North Hollywood, CA

National Provider Directory

National Provider Directory

Locations

12444 Victory Blvd
#407
North Hollywood, CA 91606
Phone (747) 256-5460

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1952158552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12444 VICTORY BLVD # 407",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063199",
            "telephone_number": "747-366-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12444 VICTORY BLVD # 407",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063199",
            "telephone_number": "747-366-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY SLEEP CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "HANDUKIC",
        "authorized_official_first_name": "HADIS",
        "authorized_official_middle_name": "MIDHAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-366-9993"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.