Provider Demographics
NPI:1063653988
Name:ENCORE DIAGNOSTIC INC.
Entity type:Organization
Organization Name:ENCORE DIAGNOSTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMALYA
Authorized Official - Middle Name:
Authorized Official - Last Name:GALSTYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-558-5810
Mailing Address - Street 1:421 E ANGELENO AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91501-2286
Mailing Address - Country:US
Mailing Address - Phone:818-558-5810
Mailing Address - Fax:818-588-5811
Practice Address - Street 1:421 E ANGELENO AVE STE 106
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91501-2286
Practice Address - Country:US
Practice Address - Phone:818-558-5810
Practice Address - Fax:818-558-5811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-23
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic