MEDICARE: VES DIGNOSTIC INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number	:	1043399256
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VES DIGNOSTIC INC

Provider Business Mailing Address
First Line	:	14621 TITUS ST STE 128
Second Line	:
City	:	PANORAMA CITY
State	:	CA
Zip	:	91402-7304
Country	:	US
Telephone Number	:	818-606-6795
Fax Number	:

Provider Business Practice Location Address
First Line	:	14621 TITUS ST STE 128
Second Line	:
City	:	PANORAMA CITY
State	:	CA
Zip	:	91402-7304
Country	:	US
Telephone Number	:	818-606-6795
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER
Name	:	VARDGES EGIAZARIAN
Credential	:
Telephone Number	:	818-606-6795

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	08/22/2020

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