MEDICARE: UNITED SLEEP CENTERS INC

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	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number	:	1629303896
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED SLEEP CENTERS INC

Provider Business Mailing Address
First Line	:	1706 BLOSSOM LN
Second Line	:	UNIT B
City	:	REDONDO BEACH
State	:	CA
Zip	:	90278-3602
Country	:	US
Telephone Number	:	702-489-8600
Fax Number	:	702-489-8601

Provider Business Practice Location Address
First Line	:	5745 S FORT APACHE RD
Second Line	:	SUITE B
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5623
Country	:	US
Telephone Number	:	702-489-8600
Fax Number	:	702-489-8601

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CLAUDIA K O'NEILL
Credential	:
Telephone Number	:	702-489-8600

Provider Enumeration Date	:	10/06/2009
Last Update Date	:	03/01/2023

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