Provider Demographics
NPI:1386836658
Name:CALIFORNIA SLEEP SOLUTIONS
Entity Type:Organization
Organization Name:CALIFORNIA SLEEP SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:KEMPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-481-2577
Mailing Address - Street 1:1020 SUN DOWN WAY
Mailing Address - Street 2:SUITE 160
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-4473
Mailing Address - Country:US
Mailing Address - Phone:916-789-0112
Mailing Address - Fax:916-789-0529
Practice Address - Street 1:1671 CREEKSIDE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3890
Practice Address - Country:US
Practice Address - Phone:916-789-0112
Practice Address - Fax:916-789-0529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ31824ZMedicare PIN