# PRO WELLNESS DIAGNOSTIC SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841423159
- **Authorized official:** MR. ARTAK MARTIKIAN (CEO/PRESIDENT)
- **Authorized official phone:** (818) 508-6888

## Contact information

- **Practice address:** 11239 VENTURA BLVD, 215, STUDIO CITY, CA 91604-3163
- **Practice address phone:** (818) 508-6888
- **Practice address fax:** (818) 508-6778
- **Mailing address:** PO BOX 5998, GLENDALE, CA 91221-5998
- **Mailing address phone:** (818) 508-6888
- **Mailing address fax:** (818) 508-6778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | G15628 | CA | Yes |

## Other

- **Enumeration date:** 09/02/2009
- **Last updated:** 09/02/2009