Healthcare Provider Details

I. General information

NPI: 1588456297
Provider Name (Legal Business Name): SKYLINE SLEEP CENTER APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3151 CAHUENGA BLVD W STE 301
LOS ANGELES CA
90068-1768
US

IV. Provider business mailing address

3151 CAHUENGA BLVD W STE 301
LOS ANGELES CA
90068-1768
US

V. Phone/Fax

Practice location:
  • Phone: 323-999-2990
  • Fax:
Mailing address:
  • Phone: 323-999-2990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: SHUSHANIK YEGHIAZARYAN
Title or Position: CEO
Credential:
Phone: 323-999-2990