Provider Demographics
NPI:1760038145
Name:PRIORITY SLEEP CENTERS, LLC
Entity Type:Organization
Organization Name:PRIORITY SLEEP CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:
Authorized Official - Last Name:CERRILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-342-9372
Mailing Address - Street 1:16573 JACKSON CT
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-2052
Mailing Address - Country:US
Mailing Address - Phone:626-342-9372
Mailing Address - Fax:
Practice Address - Street 1:7965 VINEYARD AVE STE F7
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-2313
Practice Address - Country:US
Practice Address - Phone:626-342-9372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-12
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic