Healthcare Provider Details
I. General information
NPI: 1396910931
Provider Name (Legal Business Name): SONNO BELLO SLEEP AND DIAGNOSTIC SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/24/2008
Last Update Date: 04/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2878 CAMINO DEL RIO S SUITE #404
SAN DIEGO CA
92108-3872
US
IV. Provider business mailing address
6787 W TROPICANA AVE SUITE 120B
LAS VEGAS NV
89103-4757
US
V. Phone/Fax
- Phone: 702-845-3488
- Fax: 702-968-5186
- Phone: 702-845-3488
- Fax: 702-968-5186
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QS1200X |
| Taxonomy | Sleep Disorder Diagnostic Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DANIEL
FRANKLIN
HELMCHEN
Title or Position: OWNER
Credential:
Phone: 702-845-3488