Provider Demographics
NPI:1003570805
Name:JAVID ELITE SLEEP APNEA DENTAL PRACTICE
Entity Type:Organization
Organization Name:JAVID ELITE SLEEP APNEA DENTAL PRACTICE
Other - Org Name:ELITE SLEEP SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-890-9544
Mailing Address - Street 1:27420 TOURNEY RD STE 230B
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-5635
Mailing Address - Country:US
Mailing Address - Phone:661-222-2242
Mailing Address - Fax:
Practice Address - Street 1:27420 TOURNEY RD STE 230B
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-5635
Practice Address - Country:US
Practice Address - Phone:661-222-2242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-27
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental