Organization
WILBUR SLEEP CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAVEH KHAST (MANAGER)
(619) 250-7620
Entity
Organization
Contact information
Practice address
18905 SHERMAN WAY STE 200, RESEDA, CA 91335-2600
(818) 578-3240
(818) 858-1803
Mailing address
18905 SHERMAN WAY STE 200, RESEDA, CA 91335-2600
(818) 578-3240
(818) 858-1803
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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