Provider Demographics
NPI:1639659857
Name:SLEEPTEST LLC
Entity Type:Organization
Organization Name:SLEEPTEST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:CYRUS
Authorized Official - Last Name:JAVANBAKHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-891-0303
Mailing Address - Street 1:29222 RANCHO VIEJO RD STE 216
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN CAPISTRANO
Mailing Address - State:CA
Mailing Address - Zip Code:92675-1046
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:30011 IVY GLENN DR STE 222
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-5018
Practice Address - Country:US
Practice Address - Phone:800-753-3783
Practice Address - Fax:630-517-2003
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SLEEPTEST LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-08-16
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic