Provider Demographics
NPI:1942447453
Name:INSTITUTE FOR SLEEP MEDICINE
Entity Type:Organization
Organization Name:INSTITUTE FOR SLEEP MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JANA
Authorized Official - Middle Name:ROSENBERG
Authorized Official - Last Name:COOKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-350-4357
Mailing Address - Street 1:12707 HIGH BLUFF DRIVE, SUITE 200
Mailing Address - Street 2:C/O HEALTHCAP WEST
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-2037
Mailing Address - Country:US
Mailing Address - Phone:858-350-2037
Mailing Address - Fax:
Practice Address - Street 1:801 ORANGE AVENUE
Practice Address - Street 2:SUITE 204
Practice Address - City:CORONADO
Practice Address - State:CA
Practice Address - Zip Code:92118-2663
Practice Address - Country:US
Practice Address - Phone:858-525-5808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-21
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty