Provider Demographics
NPI:1043401532
Name:CALIFORNIA SLEEP SOLUTIONS
Entity Type:Organization
Organization Name:CALIFORNIA SLEEP SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:KEMPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-481-2577
Mailing Address - Street 1:10808 FOOTHILL BLVD
Mailing Address - Street 2:STE 248
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-3889
Mailing Address - Country:US
Mailing Address - Phone:909-481-2577
Mailing Address - Fax:909-482-2546
Practice Address - Street 1:2570 GOODWATER AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-1514
Practice Address - Country:US
Practice Address - Phone:530-223-2685
Practice Address - Fax:530-223-2985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2008-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ13125ZOtherBLUE SHIELD
CAZZZ13125ZOtherBLUE SHIELD