Healthcare Provider Details

I. General information

NPI: 1548523137
Provider Name (Legal Business Name): OXNARD SLEEP DISORDERS CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2012
Last Update Date: 06/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 S A ST STE 2
OXNARD CA
93030-9254
US

IV. Provider business mailing address

905 S A ST STE 2
OXNARD CA
93030-9254
US

V. Phone/Fax

Practice location:
  • Phone: 805-667-8049
  • Fax: 805-487-3100
Mailing address:
  • Phone: 805-667-8049
  • Fax: 805-487-3100

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: ALYS AGUIRRE
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 805-667-8049