Organization
SLEEP MED OF LA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMMY NICKBAKHT (ADMINISTRATOR)
(818) 300-0022
Entity
Organization
Contact information
Practice address
18345 VENTURA BLVD, STE 403, TARZANA, CA 91356-4232
(818) 300-0022
(818) 300-0021
Mailing address
18345 VENTURA BLVD, STE 403, TARZANA, CA 91356-4232
(818) 300-0022
(818) 300-0021
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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