Provider Demographics
NPI:1073692240
Name:INSTITUTE OF SLEEP AND WELLNESS
Entity Type:Organization
Organization Name:INSTITUTE OF SLEEP AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-496-4077
Mailing Address - Street 1:250 N WESTLAKE BLVD
Mailing Address - Street 2:130
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-3700
Mailing Address - Country:US
Mailing Address - Phone:805-496-4077
Mailing Address - Fax:805-496-4744
Practice Address - Street 1:7974 HAVEN AVE
Practice Address - Street 2:180
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3052
Practice Address - Country:US
Practice Address - Phone:805-496-4077
Practice Address - Fax:805-496-4744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory