Glendale Sleep Diagnostic Center

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

GLENDALE SLEEP DIAGNOSTIC CENTER

Practice address

800 S Central Ave
Suite 210
Glendale, CA 91204-4370

Phone

(818) 543-3000

Fax

(818) 543-3002

NPI assigned

Nov 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Gevorg A Mutafyan, M.D.

Title

Supervising Physician

Phone

(818) 543-3000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1972831402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE",
            "address_2": "SUITE 210",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044370",
            "telephone_number": "818-543-3000",
            "fax_number": "818-543-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE",
            "address_2": "SUITE 210",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044370",
            "telephone_number": "818-543-3000",
            "fax_number": "818-543-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE SLEEP DIAGNOSTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "MUTAFYAN",
        "authorized_official_first_name": "GEVORG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SUPERVISING PHYSICIAN",
        "authorized_official_telephone_number": "818-543-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glendale Premier Medical Group
• Glendale Primary Care Center Inc
• Glendale Professional Hearing Center,Inc
• Glendale Radiology Medical Group, Inc.
• Glendale Retina Associates Medical Group Inc.
• Glendale Surgical Associates
• Glendale Unified School District
• Glendale Vein Clinic, PC
• Glendale West Drug Co Inc
• Glendale West Drug Company Inc

• Sleep Disorder Diagnostic Clinic/Center in Glendale, CA
• Providers in Glendale, 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 Nov 20, 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.