Healthcare Provider Details

I. General information

NPI: 1861918609
Provider Name (Legal Business Name): SANUS DIAGNOSTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2017
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17620 SHERMAN WAY STE 210
VAN NUYS CA
91406-3527
US

IV. Provider business mailing address

17620 SHERMAN WAY 210
VAN NUYS CA
91406-3527
US

V. Phone/Fax

Practice location:
  • Phone: 818-654-6489
  • Fax: 818-654-6491
Mailing address:
  • Phone: 818-654-6489
  • Fax: 818-654-6491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. NUNE DUMANYAN
Title or Position: CEO
Credential:
Phone: 818-568-4184