Healthcare Provider Details

I. General information

NPI: 1760396881
Provider Name (Legal Business Name): LOVE SLEEP & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2211 E HIGHLAND AVE STE 105
PHOENIX AZ
85016-4833
US

IV. Provider business mailing address

4539 N 22ND ST STE N
PHOENIX AZ
85016-4639
US

V. Phone/Fax

Practice location:
  • Phone: 626-616-1729
  • Fax:
Mailing address:
  • Phone: 626-616-1729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. TINGRUI WANG
Title or Position: OWNER
Credential: MD
Phone: 626-616-1726