Provider Demographics
NPI:1922448711
Name:SLEEP WELL AMERICA INSTITUTE INC
Entity Type:Organization
Organization Name:SLEEP WELL AMERICA INSTITUTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MEHMET
Authorized Official - Middle Name:CUNEYT
Authorized Official - Last Name:DEMIROZU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-644-9515
Mailing Address - Street 1:1001 AMALFI DR
Mailing Address - Street 2:
Mailing Address - City:PACIFIC PALISADES
Mailing Address - State:CA
Mailing Address - Zip Code:90272-4029
Mailing Address - Country:US
Mailing Address - Phone:310-644-9515
Mailing Address - Fax:310-644-3629
Practice Address - Street 1:1001 AMALFI DR
Practice Address - Street 2:
Practice Address - City:PACIFIC PALISADES
Practice Address - State:CA
Practice Address - Zip Code:90272-4029
Practice Address - Country:US
Practice Address - Phone:310-644-9515
Practice Address - Fax:310-644-3629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA529400174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A529400Medicaid
CA00A529400Medicaid