Provider Demographics
NPI:1881971687
Name:SOUTH VALLEY SLEEP CENTER, INC.
Entity type:Organization
Organization Name:SOUTH VALLEY SLEEP CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFRAZEKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-774-0300
Mailing Address - Street 1:18740 VENTURA BLVD
Mailing Address - Street 2:# 205
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356
Mailing Address - Country:US
Mailing Address - Phone:818-774-0300
Mailing Address - Fax:818-401-9400
Practice Address - Street 1:18740 VENTURA BLVD
Practice Address - Street 2:# 205
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356
Practice Address - Country:US
Practice Address - Phone:818-774-0300
Practice Address - Fax:818-401-9400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-08
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic