Healthcare Provider Details

I. General information

NPI: 1659136547
Provider Name (Legal Business Name): LUX MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2024
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4471 DEAN MARTIN DR UNIT 2710
LAS VEGAS NV
89103-4245
US

IV. Provider business mailing address

11750 WILSHIRE BLVD APT 1401
LOS ANGELES CA
90025-6993
US

V. Phone/Fax

Practice location:
  • Phone: 702-209-5462
  • Fax: 702-447-6464
Mailing address:
  • Phone: 888-200-6041
  • Fax: 702-447-6464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: FARNOOSH KARGARZADEH
Title or Position: CEO
Credential:
Phone: 702-209-5462