Provider Demographics
NPI:1821467937
Name:CEP-AMERICA, OSA
Entity Type:Organization
Organization Name:CEP-AMERICA, OSA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPA FELLOWSHIP COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-580-4289
Mailing Address - Street 1:26871 ALESSANDRO BLVD
Mailing Address - Street 2:SPACE 35
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92555-3903
Mailing Address - Country:US
Mailing Address - Phone:760-610-9362
Mailing Address - Fax:
Practice Address - Street 1:400 N PEPPER AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-1801
Practice Address - Country:US
Practice Address - Phone:909-580-4289
Practice Address - Fax:909-580-1388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-18
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital