Healthcare Provider Details

I. General information

NPI: 1255986329
Provider Name (Legal Business Name): HOPE DIAGNOSTICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2019
Last Update Date: 08/04/2020
Certification Date: 08/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10999 RIVERSIDE DR 204
NORTH HOLLYWOOD CA
91602-2239
US

IV. Provider business mailing address

10999 RIVERSIDE DR 204
NORTH HOLLYWOOD CA
91602-2239
US

V. Phone/Fax

Practice location:
  • Phone: 818-691-3344
  • Fax: 818-691-3363
Mailing address:
  • Phone: 818-691-3344
  • Fax: 818-691-3363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: MR. ROMAN BATULIN
Title or Position: PRESIDENT
Credential:
Phone: 818-691-3344