Provider Demographics
NPI:1407289028
Name:SOMNUS SLEEP LABORATORY, INC.
Entity Type:Organization
Organization Name:SOMNUS SLEEP LABORATORY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:MAS
Authorized Official - Middle Name:
Authorized Official - Last Name:SOARATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-687-4111
Mailing Address - Street 1:353 W FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741-5309
Mailing Address - Country:US
Mailing Address - Phone:818-335-5050
Mailing Address - Fax:818-335-5656
Practice Address - Street 1:353 W FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-5309
Practice Address - Country:US
Practice Address - Phone:818-335-5050
Practice Address - Fax:818-335-5656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-19
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic