Provider Demographics
NPI:1790919223
Name:SLEEP LAB, INC.
Entity Type:Organization
Organization Name:SLEEP LAB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:TOFIGHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-205-9250
Mailing Address - Street 1:16250 VENTURA BLVD
Mailing Address - Street 2:SUITE # 235
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2204
Mailing Address - Country:US
Mailing Address - Phone:818-205-9250
Mailing Address - Fax:818-205-9260
Practice Address - Street 1:16250 VENTURA BLVD
Practice Address - Street 2:SUITE # 235
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2204
Practice Address - Country:US
Practice Address - Phone:818-205-9250
Practice Address - Fax:818-205-9260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-12
Last Update Date:2009-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep MedicineGroup - Single Specialty