Provider Demographics
NPI:1518342203
Name:OPTIMAL SLEEP, LLC
Entity Type:Organization
Organization Name:OPTIMAL SLEEP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARUSYAK
Authorized Official - Middle Name:
Authorized Official - Last Name:KHACHATRYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-600-5666
Mailing Address - Street 1:215 N. MARENGO AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-1563
Mailing Address - Country:US
Mailing Address - Phone:626-600-5666
Mailing Address - Fax:855-649-7005
Practice Address - Street 1:215 N MARENGO AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-1503
Practice Address - Country:US
Practice Address - Phone:626-600-5666
Practice Address - Fax:626-410-6686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-23
Last Update Date:2017-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory