Healthcare Provider Details

I. General information

NPI: 1851840748
Provider Name (Legal Business Name): AW SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2016
Last Update Date: 10/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1349 CAMINO DEL MAR SUITE F
DEL MAR CA
92014-2553
US

IV. Provider business mailing address

1349 CAMINO DEL MAR SUITE F
DEL MAR CA
92014-2553
US

V. Phone/Fax

Practice location:
  • Phone: 858-755-1166
  • Fax:
Mailing address:
  • Phone: 858-755-1166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number3930596
License Number StateCA

VIII. Authorized Official

Name: AUSTIN WINNER
Title or Position: PRESIDENT
Credential:
Phone: 858-755-1166