Provider Demographics
NPI:1518203124
Name:SLEEP MANAGEMENT SERVICES
Entity Type:Organization
Organization Name:SLEEP MANAGEMENT SERVICES
Other - Org Name:COMFORT SLEEP TESTING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:BALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-908-6929
Mailing Address - Street 1:1652 WEST TEXAS ST.,
Mailing Address - Street 2:SUITE #223
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533
Mailing Address - Country:US
Mailing Address - Phone:888-908-6929
Mailing Address - Fax:888-250-8919
Practice Address - Street 1:1652 WEST TEXAS STREET
Practice Address - Street 2:SUITE #223
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533
Practice Address - Country:US
Practice Address - Phone:888-908-6929
Practice Address - Fax:888-250-8919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-31
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic