Healthcare Provider Details
I. General information
NPI: 1982982070
Provider Name (Legal Business Name): AMERY CONSULTING INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/24/2011
Last Update Date: 11/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
72855 FRED WARING DR SUITE C19
PALM DESERT CA
92260-9372
US
IV. Provider business mailing address
1223 WILSHIRE BLVD SUITE 644
SANTA MONICA CA
90403-5400
US
V. Phone/Fax
- Phone: 760-779-1444
- Fax: 888-816-5060
- Phone: 760-779-1444
- Fax: 888-816-5060
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QS1200X |
| Taxonomy | Sleep Disorder Diagnostic Clinic/Center |
| License Number | 10-00052463 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 58913 |
| License Number State | CA |
VIII. Authorized Official
Name: MS.
GISO
AMERY
Title or Position: PRESIDENT
Credential:
Phone: 760-779-1444