Healthcare Provider Details

I. General information

NPI: 1992895205
Provider Name (Legal Business Name): FAMILY SLEEP DISORDERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2006
Last Update Date: 08/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1731 HASTI ACRES DR B -201
BAKERSFIELD CA
93309
US

IV. Provider business mailing address

PO BOX 21303
BAKERSFIELD CA
93390-1303
US

V. Phone/Fax

Practice location:
  • Phone: 661-396-9000
  • Fax: 661-396-0703
Mailing address:
  • Phone: 661-396-9000
  • Fax: 661-396-0703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MR. PAUL DANG
Title or Position: PRESIDENT
Credential:
Phone: 661-396-9000