1013274026 NPI number — SLEEP CONSULTANTS OF CALIFORNIA LLC

Table of content: (NPI 1013274026)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013274026 NPI number — SLEEP CONSULTANTS OF CALIFORNIA LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SLEEP CONSULTANTS OF CALIFORNIA LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013274026
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/25/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2740 N GAREY AVE
Provider Second Line Business Mailing Address:
STE 203
Provider Business Mailing Address City Name:
POMONA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91767-1800
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
855-293-3700
Provider Business Mailing Address Fax Number:
855-293-3701

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2740 N GAREY AVE
Provider Second Line Business Practice Location Address:
STE 203
Provider Business Practice Location Address City Name:
POMONA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91767-1800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
855-293-3700
Provider Business Practice Location Address Fax Number:
855-293-3701
Provider Enumeration Date:
04/13/2012

Additional Information

Authorized Official

Authorized Official Last Name:
ROBBINS
Authorized Official First Name:
ZACHARY
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
855-293-3700

Provider Taxonomy Codes

  • Taxonomy code: 261QS1200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: ZZZ74105Y . This is a "BLUE SHIELD OF CALIFORNIA PIN" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 32100 . This is a "INLAND EMPIRE HEALTH PLAN PIN" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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