Organization
BALANCE DREAM DIAGNOSTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXSANDER KARAPETYAN (OWNER)
(818) 736-5511
Entity
Organization
Contact information
Practice address
1915 W GLENOAKS BLVD, 101A, GLENDALE, CA 91201-1541
(818) 736-5511
Mailing address
1915 W GLENOAKS BLVD, 101A, GLENDALE, CA 91201-1541
(818) 736-5511
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G62117
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
10/13/2011
Last updated
10/13/2011
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