Healthcare Provider Details

I. General information

NPI: 1013468024
Provider Name (Legal Business Name): LOFTA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2016
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9225 BROWN DEER RD
SAN DIEGO CA
92121-2268
US

IV. Provider business mailing address

9225 BROWN DEER RD
SAN DIEGO CA
92121-2268
US

V. Phone/Fax

Practice location:
  • Phone: 800-698-8000
  • Fax: 800-413-6002
Mailing address:
  • Phone: 800-698-8000
  • Fax: 858-333-3828

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: BRETTON J FLETCHER
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 858-224-7050