Provider Demographics
NPI:1558556167
Name:DOWNEY SLEEP ASSOCIATES
Entity Type:Organization
Organization Name:DOWNEY SLEEP ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:MONGE
Authorized Official - Suffix:
Authorized Official - Credentials:RPSGT
Authorized Official - Phone:562-622-3732
Mailing Address - Street 1:PO BOX 5128
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-8128
Mailing Address - Country:US
Mailing Address - Phone:562-622-3732
Mailing Address - Fax:562-622-3772
Practice Address - Street 1:10642 DOWNEY AVE
Practice Address - Street 2:100
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-3442
Practice Address - Country:US
Practice Address - Phone:562-622-3732
Practice Address - Fax:562-622-3772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA200225500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CATG207Medicare PIN