Provider Demographics
NPI:1497371645
Name:SLEEP TECHNOLOGY SPECIALISTS, LLC.
Entity Type:Organization
Organization Name:SLEEP TECHNOLOGY SPECIALISTS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DUY
Authorized Official - Middle Name:LINH
Authorized Official - Last Name:PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:RPSGT
Authorized Official - Phone:949-339-9542
Mailing Address - Street 1:4108 CROOKED STICK LN
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92883-0616
Mailing Address - Country:US
Mailing Address - Phone:949-339-9542
Mailing Address - Fax:
Practice Address - Street 1:4108 CROOKED STICK LN
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92883-0616
Practice Address - Country:US
Practice Address - Phone:949-339-9542
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistGroup - Single Specialty