Provider Demographics
NPI:1346474178
Name:SLEEP & RESEARCH CENTERS OF SOUTHERN CALIFORNIA, LLC
Entity Type:Organization
Organization Name:SLEEP & RESEARCH CENTERS OF SOUTHERN CALIFORNIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GURR
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:949-770-0600
Mailing Address - Street 1:24012 CALLE DE LA PLATA
Mailing Address - Street 2:SUITE 350
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-3621
Mailing Address - Country:US
Mailing Address - Phone:949-770-0600
Mailing Address - Fax:949-770-0606
Practice Address - Street 1:24012 CALLE DE LA PLATA
Practice Address - Street 2:SUITE 350
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-3621
Practice Address - Country:US
Practice Address - Phone:949-770-0600
Practice Address - Fax:949-770-0606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-07
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory