Provider Demographics
NPI:1609209956
Name:ELITE SLEEP
Entity Type:Organization
Organization Name:ELITE SLEEP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:D'ACQUISTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-844-2331
Mailing Address - Street 1:14065 TIERRA BONITA CT
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-3068
Mailing Address - Country:US
Mailing Address - Phone:858-391-3096
Mailing Address - Fax:866-393-9868
Practice Address - Street 1:14065 TIERRA BONITA CT
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-3068
Practice Address - Country:US
Practice Address - Phone:858-391-3096
Practice Address - Fax:866-393-9868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-09
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173F00000XOther Service ProvidersSleep Specialist, PhDGroup - Multi-Specialty