Provider Demographics
NPI:1831476944
Name:SLEEP MANAGEMENT SERVICES, INC
Entity Type:Organization
Organization Name:SLEEP MANAGEMENT SERVICES, INC
Other - Org Name:CENTER FOR SLEEP EXCELLENCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINTANILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-232-3143
Mailing Address - Street 1:25109 JEFFERSON AVE STE 125
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-8118
Mailing Address - Country:US
Mailing Address - Phone:951-290-7540
Mailing Address - Fax:
Practice Address - Street 1:25109 JEFFERSON AVE STE 125
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-8118
Practice Address - Country:US
Practice Address - Phone:951-290-7540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18932261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic