Provider Demographics
NPI:1518387760
Name:OLIVE SLEEP & EEG INC
Entity type:Organization
Organization Name:OLIVE SLEEP & EEG INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:UNJUGHULYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-848-6688
Mailing Address - Street 1:931 W OLIVE AVE
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-2209
Mailing Address - Country:US
Mailing Address - Phone:818-848-6688
Mailing Address - Fax:818-846-6689
Practice Address - Street 1:931 W OLIVE AVE
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-2209
Practice Address - Country:US
Practice Address - Phone:818-848-6688
Practice Address - Fax:818-846-6689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-25
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic