MEDICARE: ALTO SLEEP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1205010105
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTO SLEEP

Provider Business Mailing Address
First Line	:	305 SOUTH DRIVE #4
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-4207
Country	:	US
Telephone Number	:	650-967-8787
Fax Number	:	650-967-8788

Provider Business Practice Location Address
First Line	:	305 SOUTH DR STE 4
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-4207
Country	:	US
Telephone Number	:	650-967-8787
Fax Number	:	650-967-8788

Authorized Official
Title or Position	:	OFFICER
Name	:	MRS. HOMA TABATABAIE ADNANI
Credential	:	RPSGT
Telephone Number	:	650-967-8787

Provider Enumeration Date	:	12/27/2007
Last Update Date	:	02/21/2009

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Directions to “ALTO SLEEP ” Practice Location

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