Healthcare Provider Details
I. General information
NPI: 1538118419
Provider Name (Legal Business Name): H.A. DIAGNOSTICS INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4023 W BURBANK BLVD
BURBANK CA
91505-2120
US
IV. Provider business mailing address
4023 W BURBANK BLVD
BURBANK CA
91505-2120
US
V. Phone/Fax
- Phone: 818-237-7124
- Fax:
- Phone: 818-237-7124
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2278P1004X |
| Taxonomy | Pulmonary Diagnostics Certified Respiratory Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HAKOB
ARUTUNYAN
Title or Position: CEO
Credential:
Phone: 818-237-7124