Provider Demographics
NPI:1952567448
Name:NAAN DIAGNOSTIC, INC
Entity Type:Organization
Organization Name:NAAN DIAGNOSTIC, 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:NAYBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-904-5960
Mailing Address - Street 1:14637 TITUS ST
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-4922
Mailing Address - Country:US
Mailing Address - Phone:818-904-5960
Mailing Address - Fax:818-904-5966
Practice Address - Street 1:14637 TITUS ST
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-4922
Practice Address - Country:US
Practice Address - Phone:818-904-5960
Practice Address - Fax:818-904-5966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-04
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic