MEDICARE: INSTITUTE FOR SLEEP MEDICINE

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	207RS0012X	Sleep Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1942447453
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSTITUTE FOR SLEEP MEDICINE

Provider Business Mailing Address
First Line	:	12707 HIGH BLUFF DRIVE, SUITE 200
Second Line	:	C/O HEALTHCAP WEST
City	:	SAN DIEGO
State	:	CA
Zip	:	92130-2037
Country	:	US
Telephone Number	:	858-350-2037
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 ORANGE AVENUE
Second Line	:	SUITE 204
City	:	CORONADO
State	:	CA
Zip	:	92118-2663
Country	:	US
Telephone Number	:	858-525-5808
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. JANA ROSENBERG COOKE
Credential	:	M.D.
Telephone Number	:	858-350-4357

Provider Enumeration Date	:	01/21/2009
Last Update Date	:	01/21/2009

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Directions to “INSTITUTE FOR SLEEP MEDICINE ” Practice Location

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