Healthcare Provider Details

I. General information

NPI: 1215416847
Provider Name (Legal Business Name): PATIENT SLEEP SUPPLIES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2018
Last Update Date: 05/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 CORPORATE CENTER DR
THOUSAND OAKS CA
91320-1428
US

IV. Provider business mailing address

2001 CORPORATE CENTER DR
THOUSAND OAKS CA
91320-1428
US

V. Phone/Fax

Practice location:
  • Phone: 877-823-9310
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. BRIAN EDWARD MALCHOW
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 877-823-9310