MEDICARE: SLEEPCARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1902676893
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEPCARE, LLC

Provider Business Mailing Address
First Line	:	12424 WILSHIRE BLVD STE 1020
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-1052
Country	:	US
Telephone Number	:	310-879-8081
Fax Number	:

Provider Business Practice Location Address
First Line	:	12424 WILSHIRE BLVD STE 1020
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-1052
Country	:	US
Telephone Number	:	310-879-8081
Fax Number	:

Authorized Official
Title or Position	:	CO-FOUNDER
Name	:	MR. VAN MORGAN
Credential	:
Telephone Number	:	310-879-8081

Provider Enumeration Date	:	01/03/2024
Last Update Date	:	01/03/2024

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