Provider Demographics
NPI:1356648653
Name:SLEEP INSTITUTE OF ORANGE
Entity Type:Organization
Organization Name:SLEEP INSTITUTE OF ORANGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-218-6419
Mailing Address - Street 1:922 W TOWN AND COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4714
Mailing Address - Country:US
Mailing Address - Phone:800-279-0006
Mailing Address - Fax:714-202-3160
Practice Address - Street 1:922 W TOWN AND COUNTRY RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4714
Practice Address - Country:US
Practice Address - Phone:800-279-0006
Practice Address - Fax:714-202-3160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-22
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory