Provider Demographics
NPI:1396395489
Name:ENHANCED SLEEP SOLUTIONS
Entity Type:Organization
Organization Name:ENHANCED SLEEP SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BASSIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-731-7484
Mailing Address - Street 1:2990 E. INLAND EMPIRE BLVD. #105
Mailing Address - Street 2:
Mailing Address - City:ANTONIO
Mailing Address - State:CA
Mailing Address - Zip Code:91764
Mailing Address - Country:US
Mailing Address - Phone:818-731-7484
Mailing Address - Fax:888-870-2536
Practice Address - Street 1:2990 E. INLAND EMPIRE BLVD. #105
Practice Address - Street 2:
Practice Address - City:ANTONIO
Practice Address - State:CA
Practice Address - Zip Code:91764
Practice Address - Country:US
Practice Address - Phone:818-731-7484
Practice Address - Fax:888-870-2536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-19
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic