Provider Demographics
NPI:1174257240
Name:EVEREST SLEEP CENTER
Entity Type:Organization
Organization Name:EVEREST SLEEP CENTER
Other - Org Name:HENRY QIU DDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:QIU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-420-2354
Mailing Address - Street 1:8500 FLORENCE AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-4058
Mailing Address - Country:US
Mailing Address - Phone:562-923-4538
Mailing Address - Fax:
Practice Address - Street 1:8500 FLORENCE AVE STE 100
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-4058
Practice Address - Country:US
Practice Address - Phone:562-923-4538
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-13
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No122300000XDental ProvidersDentistGroup - Multi-Specialty