Healthcare Provider Details

I. General information

NPI: 1134490972
Provider Name (Legal Business Name): CALIFORNIA SLEEP APNEA CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2012
Last Update Date: 01/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8641 WILSHIRE BLVD STE 105
BEVERLY HILLS CA
90211-2919
US

IV. Provider business mailing address

8641 WILSHIRE BLVD STE 105
BEVERLY HILLS CA
90211-2919
US

V. Phone/Fax

Practice location:
  • Phone: 310-289-8678
  • Fax:
Mailing address:
  • Phone: 310-289-8678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JONATHAN HUPPERT
Title or Position: MANAGER
Credential:
Phone: 310-289-8678