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MOONLIGHT SLEEP LABS LLC NPI 1861472128


NPI Information

NPI: 1861472128
Provider Name: MOONLIGHT SLEEP LABS, LLC
Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

Address:
5363 BALBOA BLVD
SUITE 121
ENCINO, CA
ZIP 91316
Phone: (818) 385-0077
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MOONLIGHT SLEEP LABS, LLC is a sleep disorder diagnostic clinic center in Encino, CA. MOONLIGHT SLEEP LABS, LLC NPI is 1861472128. The provider is registered as an organization entity type.

The provider's business location address is:

5363 BALBOA BLVD
SUITE 121
ENCINO, CA
ZIP 91316-805
Phone: (818) 385-0077
Fax: (818) 385-0987

The provider's authorized official is Erika Paskhover .
The authorized official title is Clinical Director and has the following contact phone number (818) 385-0077.

The enumeration date for this NPI number is 1/20/2006 and was last updated on 10/21/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QS1200XClinic/CenterSleep Disorder DiagnosticYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1TG419MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2Y16510MEDICARE UPINCALIFORNIA
3ZZZ08189ZOTHERCALIFORNIABLUE SHIELD
4IDTF00310MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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