Healthcare Provider Details

I. General information

NPI: 1629210620
Provider Name (Legal Business Name): CALIFORNIA SLEEP CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2009
Last Update Date: 04/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1329 E THOUSAND OAKS BLVD STE 215
THOUSAND OAKS CA
91362-2824
US

IV. Provider business mailing address

1329 E THOUSAND OAKS BLVD STE 215
THOUSAND OAKS CA
91362-2824
US

V. Phone/Fax

Practice location:
  • Phone: 805-755-4700
  • Fax: 805-367-4160
Mailing address:
  • Phone: 805-755-4700
  • Fax: 805-367-4160

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: JONAH BERNIER CRAWFORD
Title or Position: CEO
Credential:
Phone: 805-755-4700