Provider Demographics
NPI:1841397965
Name:NIGHT OWL THERAPIES LLC
Entity Type:Organization
Organization Name:NIGHT OWL THERAPIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JUHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-364-6600
Mailing Address - Street 1:9663 SANTA MONICA BLVD
Mailing Address - Street 2:STE 202
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4303
Mailing Address - Country:US
Mailing Address - Phone:949-364-6600
Mailing Address - Fax:949-364-7065
Practice Address - Street 1:27882 FORBES RD
Practice Address - Street 2:STE 202
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-1219
Practice Address - Country:US
Practice Address - Phone:949-364-6600
Practice Address - Fax:949-364-7065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherEIN