Provider Demographics
NPI:1851536908
Name:SAN DIEGO SLEEP MEDICINE, INC
Entity Type:Organization
Organization Name:SAN DIEGO SLEEP MEDICINE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHNIEROW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-623-3266
Mailing Address - Street 1:PO BOX 12285
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92039-2285
Mailing Address - Country:US
Mailing Address - Phone:858-623-3266
Mailing Address - Fax:858-630-2426
Practice Address - Street 1:332 SANTA FE DR
Practice Address - Street 2:SUITE 150
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-5143
Practice Address - Country:US
Practice Address - Phone:858-623-3266
Practice Address - Fax:858-630-2426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic