Provider Demographics
NPI:1508973868
Name:DREAM CARE DIAGNOSTIC
Entity Type:Organization
Organization Name:DREAM CARE DIAGNOSTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARKADIK
Authorized Official - Middle Name:
Authorized Official - Last Name:ARUTUNOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-951-3023
Mailing Address - Street 1:6815 FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:TUJUNGA
Mailing Address - State:CA
Mailing Address - Zip Code:91042-2710
Mailing Address - Country:US
Mailing Address - Phone:818-951-3023
Mailing Address - Fax:818-951-4629
Practice Address - Street 1:6815 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:TUJUNGA
Practice Address - State:CA
Practice Address - Zip Code:91042-2710
Practice Address - Country:US
Practice Address - Phone:818-951-3023
Practice Address - Fax:818-951-4629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic