Healthcare Provider Details
I. General information
NPI: 1922416973
Provider Name (Legal Business Name): PUL STATS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/22/2014
Last Update Date: 07/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5250 SANTA MONICA BLVD STE 305
LOS ANGELES CA
90029-1255
US
IV. Provider business mailing address
5250 SANTA MONICA BLVD STE 305
LOS ANGELES CA
90029-1255
US
V. Phone/Fax
- Phone: 323-431-1011
- Fax:
- Phone: 323-431-1011
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225B00000X |
| Taxonomy | Pulmonary Function Technologist |
| License Number | |
| License Number State | CA |
VIII. Authorized Official
Name: MR.
ARSHAK
AKOPYAN
Title or Position: CEO
Credential:
Phone: 323-431-1011