Provider Demographics
NPI:1790068476
Name:CEN CAL SLEEP CARE
Entity Type:Organization
Organization Name:CEN CAL SLEEP CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:SLATEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-202-7260
Mailing Address - Street 1:910 W BELLEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257-2010
Mailing Address - Country:US
Mailing Address - Phone:559-202-7260
Mailing Address - Fax:559-782-1304
Practice Address - Street 1:910 W BELLEVIEW AVE
Practice Address - Street 2:
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-2010
Practice Address - Country:US
Practice Address - Phone:559-202-7260
Practice Address - Fax:559-782-1304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-20
Last Update Date:2012-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic