Provider Demographics
NPI:1164796751
Name:PERFORMANCE SLEEP CENTERS, INC.
Entity Type:Organization
Organization Name:PERFORMANCE SLEEP CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAMERON
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBASOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-353-5455
Mailing Address - Street 1:3939 RUFFIN RD STE 114
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1804
Mailing Address - Country:US
Mailing Address - Phone:858-810-0392
Mailing Address - Fax:888-399-9098
Practice Address - Street 1:3939 RUFFIN RD STE 114
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1804
Practice Address - Country:US
Practice Address - Phone:858-810-0392
Practice Address - Fax:888-399-9098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-29
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic