Provider Demographics
NPI:1821360470
Name:SLEEP CLOUD, TRUST
Entity Type:Organization
Organization Name:SLEEP CLOUD, TRUST
Other - Org Name:SLEEP @ HOME DIAGNOSTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TTEE
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAPIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-626-8767
Mailing Address - Street 1:221 W LOS OLIVOS ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-3898
Mailing Address - Country:US
Mailing Address - Phone:626-513-4296
Mailing Address - Fax:
Practice Address - Street 1:4731 GLEN IVY RD
Practice Address - Street 2:
Practice Address - City:LA VERNE
Practice Address - State:CA
Practice Address - Zip Code:91750-2311
Practice Address - Country:US
Practice Address - Phone:805-626-8767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-29
Last Update Date:2012-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic