Provider Demographics
NPI:1548431844
Name:ACADEMY OF SLEEP MATTRESS SHOP
Entity Type:Organization
Organization Name:ACADEMY OF SLEEP MATTRESS SHOP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-223-2093
Mailing Address - Street 1:4825 VALLEY VIEW AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-3672
Mailing Address - Country:US
Mailing Address - Phone:714-223-2093
Mailing Address - Fax:714-223-1819
Practice Address - Street 1:4825 VALLEY VIEW AVE
Practice Address - Street 2:SUITE A
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-3672
Practice Address - Country:US
Practice Address - Phone:714-223-2093
Practice Address - Fax:714-223-1819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-14
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies