Provider Demographics
NPI:1043399256
Name:VES DIGNOSTIC INC
Entity Type:Organization
Organization Name:VES DIGNOSTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:VARDGES
Authorized Official - Middle Name:
Authorized Official - Last Name:EGIAZARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-606-6795
Mailing Address - Street 1:14621 TITUS ST STE 128
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-7304
Mailing Address - Country:US
Mailing Address - Phone:818-606-6795
Mailing Address - Fax:
Practice Address - Street 1:14621 TITUS ST STE 128
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-7304
Practice Address - Country:US
Practice Address - Phone:818-606-6795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic