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General NPI Number Information
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NPI Number | 1043639420
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Entity Type | Organization
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Legal Business Name | OPTIMAL SLEEP
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Dates
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Enumeration Date | 04/14/2014
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 215 N MARENGO AVE STE 110
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City | PASADENA
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State | CA
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Zip | 91101-1563
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Country | US
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Telephone | 818-424-9006
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Fax | 626-410-6686
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Provider Business Mailing Address
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Address Line | 215 N MARENGO AVE STE 110
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City | PASADENA
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State | CA
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Zip | 91101-1563
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Country | US
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Telephone | 626-600-5666
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Fax | 626-410-6686
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARUSYAK KHACHATRYAN
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Credential |
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Telephone | 818-424-9006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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