Healthcare Provider Details

I. General information

NPI: 1912858226
Provider Name (Legal Business Name): BIOSIGHT INNOVATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2026
Last Update Date: 02/04/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7320 WOODLAKE AVE STE 190
WEST HILLS CA
91307-1492
US

IV. Provider business mailing address

32714 WELLBROOK DR
WESTLAKE VILLAGE CA
91361-5555
US

V. Phone/Fax

Practice location:
  • Phone: 818-936-5070
  • Fax: 818-936-5071
Mailing address:
  • Phone: 818-936-5070
  • Fax: 818-936-5071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. SOHEAB UGRADAR
Title or Position: PRESIDENT
Credential: MD
Phone: 310-560-3531