Healthcare Provider Details

I. General information

NPI: 1124886916
Provider Name (Legal Business Name): ELITE SLEEP APNEA SOLUTIONS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2024
Last Update Date: 04/02/2024
Certification Date: 04/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10066 ARROW RTE
RANCHO CUCAMONGA CA
91730-4194
US

IV. Provider business mailing address

10066 ARROW RTE
RANCHO CUCAMONGA CA
91730-4194
US

V. Phone/Fax

Practice location:
  • Phone: 844-732-8475
  • Fax:
Mailing address:
  • Phone: 844-732-8475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. ADRIAN MOBILIA
Title or Position: OWNER
Credential: DDS
Phone: 844-732-8475