Organization Name: | INDIANA SLEEP SERVICES LLC |
NPI Number: | 1407105893 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALAN BRAMSON (CFO) |
Mailing Address: | 3251 Grande Vista Dr Newbury Park |
State: | CA US |
Postal Code: | 913201193 |
Phone Number: | 8883227108 |
Fax Number: | 8772173224 |
NPI Enumeration Date: | 08/31/2012 |
NPI Last Update Date: | 05/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |