Provider Demographics
NPI:1164717377
Name:SLEEP DISORDERED BREATHING SOLUTIONS, INC
Entity Type:Organization
Organization Name:SLEEP DISORDERED BREATHING SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:D
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:760-436-9292
Mailing Address - Street 1:320 SANTA FE DR STE 105
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-5139
Mailing Address - Country:US
Mailing Address - Phone:760-436-9292
Mailing Address - Fax:760-436-9332
Practice Address - Street 1:320 SANTA FE DR STE 105
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-5139
Practice Address - Country:US
Practice Address - Phone:760-436-9292
Practice Address - Fax:760-436-9332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-15
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33703332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6522920001Medicare NSC