Healthcare Provider Details

I. General information

NPI: 1386569812
Provider Name (Legal Business Name): BRIGHTMIND SLEEP CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 LAUREL CANON BLVD SUITE 120
VALLEY VILLAGE CA
91607
US

IV. Provider business mailing address

5301 LAUREL CANON BLVD SUITE 120
VALLEY VILLAGE CA
91607
US

V. Phone/Fax

Practice location:
  • Phone: 747-300-8110
  • Fax: 747-300-8112
Mailing address:
  • Phone: 747-300-8110
  • Fax: 747-300-8112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: AZGUSH MARTIROSYAN
Title or Position: CEO/OWNER
Credential:
Phone: 747-300-8110