Healthcare Provider Details
I. General information
NPI: 1881927978
Provider Name (Legal Business Name): UNIVERSITY SLEEP INSTITUTE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/08/2009
Last Update Date: 09/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10921 WILSHIRE BLVD SUITE 1110
LOS ANGELES CA
90024-3906
US
IV. Provider business mailing address
10636 WILSHIRE BLVD SUITE 107
LOS ANGELES CA
90024-4592
US
V. Phone/Fax
- Phone: 310-621-2254
- Fax:
- Phone: 310-621-2254
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RS0012X |
| Taxonomy | Sleep Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
S.
RAMIN
Title or Position: OWNER
Credential: M.D.
Phone: 310-621-2254