Provider Demographics
NPI:1457308538
Name:DREAM NIGHT DIAGNOSTIC SERVICES INC.
Entity type:Organization
Organization Name:DREAM NIGHT DIAGNOSTIC SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LILIT
Authorized Official - Middle Name:
Authorized Official - Last Name:MANUKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-527-7775
Mailing Address - Street 1:7143 KATELLA AVE
Mailing Address - Street 2:
Mailing Address - City:STANTON
Mailing Address - State:CA
Mailing Address - Zip Code:90680-4372
Mailing Address - Country:US
Mailing Address - Phone:714-527-7775
Mailing Address - Fax:714-527-7772
Practice Address - Street 1:7143 KATELLA AVE
Practice Address - Street 2:
Practice Address - City:STANTON
Practice Address - State:CA
Practice Address - Zip Code:90680-4372
Practice Address - Country:US
Practice Address - Phone:714-527-7775
Practice Address - Fax:714-527-7772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CATG-566Medicare ID - Type Unspecified