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General NPI Number Information
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NPI Number | 1700247871
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Entity Type | Organization
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Legal Business Name | NEUROSLEEP SOLUTIONS
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Dates
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Enumeration Date | 03/16/2016
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Last Update Date | 03/16/2016
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Provider Practice Location Address
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Address Line | 11704 WILSHIRE BLVD SUITE 210
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City | LOS ANGELES
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State | CA
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Zip | 90025-1507
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Country | US
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Telephone | 310-445-3900
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Fax | 310-943-2548
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Provider Business Mailing Address
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Address Line | 11704 WILSHIRE BLVD SUITE 210
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City | LOS ANGELES
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State | CA
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Zip | 90025-1507
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Country | US
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Telephone | 310-445-3900
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Fax | 310-943-2548
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Authorized Official
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Title or Position | CEO/OWNER
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Name | CHAT T. LUPIA
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Credential |
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Telephone | 310-445-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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