Healthcare Provider Details

I. General information

NPI: 1689021552
Provider Name (Legal Business Name): SLEEP APNEA SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2016
Last Update Date: 05/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27699 JEFFERSON AVE STE 306
TEMECULA CA
92590-2661
US

IV. Provider business mailing address

27699 JEFFERSON AVE STE 306
TEMECULA CA
92590-2661
US

V. Phone/Fax

Practice location:
  • Phone: 951-506-2424
  • Fax:
Mailing address:
  • Phone: 951-506-2424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number56532
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL SKIDMORE
Title or Position: PRESIDENT
Credential: DMD
Phone: 951-506-2424