Healthcare Provider Details

I. General information

NPI: 1770435224
Provider Name (Legal Business Name): SOUTHWEST SLEEP SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42104 N VENTURE DR B102 STE E
ANTHEM AZ
85086-3823
US

IV. Provider business mailing address

2838 LONG BEACH RD
OCEANSIDE NY
11572-2258
US

V. Phone/Fax

Practice location:
  • Phone: 877-455-5043
  • Fax: 707-744-3081
Mailing address:
  • Phone: 877-455-5043
  • Fax: 707-744-3081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DARREN FLOWERS
Title or Position: AUTHORIZED OFFICIAL
Credential: FLOWERS
Phone: 877-455-5043