MEDICARE: SLEEP TECHNOLOGY 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	:	1871517474
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEP TECHNOLOGY INC.

Provider Business Mailing Address
First Line	:	5065 HOLLYWOOD BLVD STE 104
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-6100
Country	:	US
Telephone Number	:	323-662-7993
Fax Number	:	323-662-7585

Provider Business Practice Location Address
First Line	:	5065 HOLLYWOOD BLVD
Second Line	:	104
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-6133
Country	:	US
Telephone Number	:	323-662-7993
Fax Number	:	323-662-7585

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. SARGIS P PILIPOSYAN
Credential	:
Telephone Number	:	323-662-7993

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	08/22/2020

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