Organization Name: | ADVANCED SLEEP MEDICINE SERVICES INC |
NPI Number: | 1023250545 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KERMIT RAY NEWMAN (CEO/ PRESIDENT) |
Mailing Address: | 299 W. Hillcrest Suite 106 Thousand Oaks |
State: | CA US |
Postal Code: | 913607823 |
Phone Number: | 3104790500 |
Fax Number: | 3104022703 |
NPI Enumeration Date: | 03/30/2009 |
NPI Last Update Date: | 03/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |