Active NPI
Victory Sleep Center Inc
- Sleep Medicine (Family Medicine) Physician
- North Hollywood, CA
National Provider Identifier
1952158552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Family Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Family Medicine) Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240722003809 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 3577009901 | Practice locations: North Hollywood, CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pulmonary Disease Physician
- Orange, CA
- NPI 1952500696
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
- Victory Counseling and Psychosocial Education Inc
- Victory Diagnostics Inc.
- Victory Hospice Care, Inc.
- Victory Physical Rehabilitation, Inc
- Victory Plaza Dental Group Dental Office of Farnaz Kohan Inc.
- Vida for Autism, LLC
- Kierstyn Videgain
- Viewcrest Congregate Living
- Artit Vijitsang
- Villa Cathrine Inc.
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.